(t
ime stamp)
Official Use Only
Minor Final Plat Application
A subdivision plat for not more than four lots within a tract of record.
The Minor Final Plat will be reviewed and approved upon satisfactory compliance with
the Comprehensive Plan, Zoning Ordinance and pertinent Subdivision Ordinance
regulations.
Please complete the entire application and submit with the required documentation
and fee.
1. Applicant Information
Applicant (Print Name) Phone
Int
erest in Property (owner, renter, perspective buyer, etc.)
Addr
ess, City, State and Zip
Em
ail
2. Developer Information
Dev
eloper (Print Name) Phone Email
Addr
ess, City, State and Zip
3. Property Owner Information
Pr
operty Owner (Print Name) Phone Email
Addr
ess, City, State and Zip
4. Subject Property Information
Pr
operty Address Zoning District
Di
strict and Parcel Number
Legal Description:
Pr
oject Description:
5. Filing Fee: $268 + $15 per lot (not including outlots)
6. Attached Checklist and Subdivision Plat Notes
2
Minor Final Plat
Submittal Requirements:
3 copies of the Final
Plat + Electronic Copy
Application Form
Application Fee - $268.00 + $15 per lot, not including outlots
Process:
Minor Final Plat Checklist
Information Required
Map
scale 1’=50’ or 1”=60’ or 1”=100’ if necessary
Plan size shall not exceed 24” X 36”
* may be drawn on more than one sheet with appropriate match lines
Name o
f Development
Typ
e of map or plat (Final Plat)
Loc
ation of map or plat (address, city, township, section & range)
Leg
al Description of parcel and source of boundary information (plat book &page) and number acres
Nort
h arrow, scale
Owner
’s and/or Developer’s name, address, telephone number
Surv
eyor’s name, address, telephone number
Reg
istration and seal of surveyor
Date(s) prepared and revision dates
Bounda
ry lines of subdivided area with accurate distances, bearings and boundary angles
Loc
ation and names of adjoining subdivisions
Intake
Subm
ittal (Plat, Application and Fee)
Polk County contacts jurisdiction if within 2 miles
Review
10 bus
iness day review time by Polk County staff
E-mail comments to Applicant and Property Owner
Staff
Approval
All
comments are resolved and signed copies of the Plat are received
Legal
Review
Leg
al documents are received and forwarded to the Polk County Attorney for
review
Once approved, Board of Supervisors meeting is set
Board of
Supervisors
Polk C
ounty Board of Supervisors final decision
Legal documents and Final Plat copies delivered by staff to Polk County Auditor
for review and recording
3
Names of owners of all adjoining parcels
Identify adjacent parcels and their boundaries
Location of existing monuments, markers and control corners
Boundaries of parcel to be subdivided in heavy line (phase lines, if multiple phases)
Front building setback lines
Proposed lot lines, lot numbers, dimensions, and lot area (in square feet, if below 1 acre)
Curve data including: delta angle, degree of curve, length of arc, and tangent
Existing and proposed right of way widths, street names, and centerlines
Location, area and elevations of floodway and flood fringe from Flood Hazard Boundary Maps
Location, width and type of easements for public utilities: sanitary sewer, water, storm sewer, gas, electric,
cable TV
Location, dimensions and size of common areas and open space areas under Owner Association control
Location, dimensions and size of areas proposed for public dedication and use
Addresses for buildable lots
Legal Document Checklist
Consent to Plat (notarized) Owner & Spouse / Contract Purchaser / Corporate Owner / Mortgage Owner
Release of mortgage on any property deeded to a governmental body (Polk County for Road Lot, etc.)
Attorney’s Opinion (Abstract search not older than 90 days)
Treasurer’s Certificate
Warranty
Deeds (noted on the Warranty Deed for public roadways that they are to be returned to Polk
County Public Works Department)
Covenants
Homeowners Association Agreements
Original City Council Resolution approval or waiver (Jurisdictions within 2 miles)
Four copies of the signed final plat, including addresses. (Final Plat must be rolled, not folded).
Polk County Public Works, Planning & Development Division
5885 NE 14
th
Street, Des Moines, IA 50313
Forms available online http://www.polkcountyiowa.gov/PublicWorks
/
Phone (515)286-3705
email: PublicWorks@polkcountyiowa.gov