(time 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
Interest in Property (owner, renter, perspective buyer, etc.)
Address, City, State and Zip
Email
2. Developer Information
Developer (Print Name) Phone Email
Address, City, State and Zip
3. Property Owner Information
Property Owner (Print Name) Phone Email
Address, City, State and Zip
4. Subject Property Information
Property Address Zoning District
District and Parcel Number
Legal Description:
Project Description:
5.
Filing Fee:
$264
+ $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 - $264.00 + $15 per lot, not including outlots
Process:
Minor Final Plat Checklist
Information Required
Ma
p 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
Na
me of Development
Ty
pe of map or plat (Final Plat)
Lo
cation of map or plat (address, city, township, section & range)
Le
gal Description of parcel and source of boundary information (plat book &page) and number acres
Nor
th arrow, scale
Own
er’s and/or Developer’s name, address, telephone number
Sur
veyor’s name, address, telephone number
Re
gistration and seal of surveyor
Date(s) prepared and revision dates
Bo
undary lines of subdivided area with accurate distances, bearings and boundary angles
Lo
cation and names of adjoining subdivisions
Intake
Sub
mittal (Plat, Application and Fee)
Polk County contacts jurisdiction if within 2 miles
Review
10
business day review time by Polk County staff
E-mail comments to Applicant and Property Owner
Staff
Approval
Al
l comments are resolved and signed copies of the Plat are received
Legal
Review
Le
gal documents are received and forwarded to the Polk County Attorney for
review
Once approved, Board of Supervisors meeting is set
Board of
Supervisors
Pol
k County 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).
P
olk County Public Works, Planning & Development Division
5885 NE 14
th
Street, Des Moines, IA 50313
▪ Phone (515) 286-3705 ▪ Forms available online
http://www.polkcountyiowa.gov/PublicWorks/