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Sketch Plan Application
A Sketch Plan is a scaled drawing that is not required to be certified due to the
minimal changes to an existing site and is allowed when one of the following
conditions exist: (please check the appropriate box)
Change of Use where no exterior site improvements are required
other than possibly landscaping or parking lot striping.
Commercial stables Change of Use utilizing existing structures or
minor proposed improvements.
Public park structures (ie shelter house, bathroom, playgrounds).
Modifications to an existing approved site plan on file with Polk
County, where no additional hard surface is proposed (ie: building
constructed on existing paved surface and adequate parking
provided.)
If sketch plan cannot adequately provide necessary detail or if existing site factors do
not adequately provide appropriate drainage or detention a minor or major site plan as
determined by the Zoning Administrator shall be submitted for the project.
.1. Subject Property Information
____________________________________________________________
Property Address or Parcel Number
______________________________
Zoning District
_______________________________ _______________________________
Current Use Proposed Use
2. Applicant Information
__________________________________________ __________________________________________
Applicant (Print Name) Interest in Property (owner, consultant, prospective buyer)
____________________________________________________________________
Address, City, State and Zip
___________________________________ ________________________________
Email Phone
2. Property Owner Information
__________________________________________
Property Owner (Print Name)
___________________________________________ ______________________________________________
Email Phone
3. Consultant Information
__________________________________________ __________________________________________
Company Name Project Contact
____________________________________________________________________
Address, City, State and Zip
___________________________________________ ______________________________________________
Email Phone
(time stamp)
Official Use Only
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5. Written description
Description of the proposed improvements, proposed use or change of use for the property:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
__________________________________________________________________________________
Submittal Requirements:
2 copies of the Sketch Plan
Completed Application form including checklist
Application Fee - $108.00
Minor Site Plan Review Process
A completed application with required documentation and filing fee must be submitted.
Incomplete submittals will not be processed.
Return forms M-F 7am 4:30 pm to: Polk County Public Works, Planning & Development Division
5885 NE 14
th
Street, Des Moines, IA 50313
Phone (515) 286-3705 Fax (515) 323-5295
email: PublicWorks@polkcountyiowa.gov
Forms available online http://www.polkcountyiowa.gov/PublicWorks/
Intake
Submit completed application, Sketch Plan, and fee
Review
5 working day review time by Polk County staff
E-mail comments to Applicant and Property Owner
Resubmittal
5 working day review time by Polk County staff
E-mail comments to Applicant and Property Owner
Reveiw and resubmittal repeat until all items are addresseed
Admin.
Approval
2 copies of the approved Sketch Plan are stamped and retained by Polk County
Approval e-mail is sent to Applicant and to Property Owner
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Sketch Plan Checklist
Information Required
A sketch plan shall be drawn to a scale not less than 1"=100' and shall show the following information:
A legal description of the property and boundary drawing of the property or area involved.
A vicinity map showing the subject parcel and illustrating its relationship to the nearest major street intersection
and adjacent streets.
North arrow and scale of drawings.
The name and address of the development,
Present titleholder of the property.
Use proposed for the site.
Location of the vehicular entrance to the site.
Method of handling and approximate location of water and sewer (septic) facilities
Location, dimensions, height, and setbacks of all existing and proposed buildings.
Location of existing and proposed parking areas, number of stalls required, and stall dimensions.
Location of outside refuse collection areas and the type of solid screen to be provided. Refuse containers must be
enclosed from public view.
Location of landscaping, buffer areas and screening.
Review will be based on information provided by the applicant. Additi9onal information may be requested as relates to the
existing property and proposed modifications. All information shown on a sketch plan shall be constructed or completed to
conform to the approved plan. Modifications shall be shown on a revised plan. Additional information and site modifications
may be necessary to comply with the requirements of the Polk County Zoning Ordinance, if construction is not completed to
the approved site plan. Failure to complete the plan as approved is a violation of this Ordinance