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FINAL SUBDIVISION SUPPLEMENTAL (City of Lacey)

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FORM: SUBFIN – 2 5/11/10 Page 1 of 2
DEPARTMENT OF COMMUNITY DEVELOPMENT
420 College Street S.E. Lacey, WA 98503 (360) 491-5642
FINAL SUBDIVISION SUPPLEMENTAL
(This form to be accompanied by the General Land Use Application)
Subdivision Name:
(A name reservation request must be submitted to the Thurston County Assessor’s Office)
Project Number (HTE#): Date of Preliminary Approval:
Applicant or Authorized Representative:
Telephone Number:
Land Surveyor:
Telephone Number:
Final lot count:
Final tract count:
Area of tree tract(s):
Area of active open space:
Area of passive open space:
Smallest lot size:
Largest lot size:
Average lot size:
SUBMITTAL CHECKLIST
15 copies of the Final Subdivision Supplemental application
15 copies of the General Land Use application
Supporting Documents:
A summary explanation is required of all Hearings Examiner’s conditions stating how the developer has
met the requirements (15 Copies)
Certificate of title, date not to exceed thirty days prior to submittal (four copies)
A copy of any proposed deed restrictions applicable to the subdivision (four copies)
The proposed protective covenants and declarations establishing the homeowners association (four
copies)
A copy of any dedication requiring separate documents
A certificate by the engineering department that the subdivider has complied with one of the following:
All improvements have been installed in accordance with the requirements of this title and with
the action of the legislative body giving approval of the preliminary plat;
An agreement and financial security have been executed as provided for in the Subdivision
Ordinance to assure completion of required improvements.
OFFICIAL USE ONLY
Date:
Case #:
Received By:
Planner:
Related Cases:
FORM: SUBFIN – 2 5/11/10 Page 2 of 2
Mathematical boundary closures of the subdivision showing the error closure, if any (4 copies)
The mathematical lot closures and street centerline closures, and square footage of each parcel (4 copies)
A phasing plan (if applicable) (4 copies)
Copy of the name reservation from the Thurston County Auditor
Certification from the Thurston County Treasurer that property taxes have been paid current.
All application fees
Plat Map:
The original, 15 copies, and one 11” x 17” copy of the plat map shall be submitted
The date, scale, north arrow, legend, controlling topography, and existing features such as highways and
railroads
Reference points and lines of existing surveys identified, per subdivision ordinance
The exact location and width of streets and easements intersecting the boundary of the tract
Tract, block, and lot boundary lines and street rights-of-way and centerlines with dimensions, bearings, or
deflection angles, radii, arcs, points of curvature, and tangent bearings
The width of the portion of streets being dedicated, the width of any existing right-of-way, and the width
of each side of the centerline curve data
Easements denoted by fine dotted lines, clearly identified and, if already on record, their recorded
reference. The width of the easement, its length and bearings, and sufficient ties to locate the easement
with respect to the subdivision must be shown. If the easement is being dedicated by the map, it shall be
properly referenced in the owner’s certificate of dedication
Lot numbers in an addition to a subdivision of the same name shall be a continuation of the numbering of
the original subdivision
Land parcels to be dedicated for any purpose, public or private, shall be distinguished from lots intended
for sale
The following certificates may be combined where appropriate:
A certificate signed and acknowledged by all parties with any record title interest in the land
subdivided, and a waiver of all claims for damages against any governmental authority which may
be occasioned to the adjacent land by the established construction, drainage, and maintenance of
dedicated streets;
A certificate signed and acknowledged as above, dedicating all parcels of land shown on the final
map intended for any public use except those parcels which are intended for the exclusive use of
the lot owners;
A certificate with the seal of and signed by the engineer or the surveyor responsible for the survey
and final map;
Other certifications now or hereafter required by law.
Lots containing one acre or more shall show net acreage to nearest hundredth
Survey of section(s) in which plat is located
Acknowledgement of persons filing the plat
Sites allocated for purposes other than single-family dwellings
Drafting Standards:
Clearly and legibly draw in permanent black ink (original only)
Scale must be greater than 1” = 200’, lettering must be a minimum of 3/32”, high perimeter of the plat
must be depicted with heavy lines
18 x 24 inch sheets
Marginal line (3” left margin and ½” margin on the remaining sides)
Index required for more than 2 sheets
Plat title
All signatures must be original in permanent black ink
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FINAL SUBDIVISION SUPPLEMENTAL (City of Lacey)

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Completed 3 August 2020

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