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Town of Monument 645 Beacon Lite Road Monument, CO 80132-0325 Ph: [PHONE REDACTED] An application for PRELIMINARY PLAT shall be accompanied by the following information, unless one or more items are specifically waived in writing by the Planning Director: PROJECT NAME: APPLICATION REQUIREMENTS Applicant Staff N/A Development Review Application form. Comments: ☐ ☐ ☐ Application fee. Comments: ☐ ☐ ☐ Proof of legal ownership in the form of a current title policy. Comments: ☐ ☐ ☐ Project narrative or Letter of Interest including: • a statement of purpose/intent • a description of how the application meets the preliminary plat review and approval criteria of Section 18.02.250 C of this title. Comments: ☐ ☐ ☐ A letter of representation, signed and notarized by the property owner(s), for any applicant that is not a property owner. Comments: ☐ ☐ ☐ A 24” x 36” preliminary plat, with north arrow and scale, indicating the general site design of the proposal, including: Comments: ☐ ☐ ☐ The proposed name of the subdivision. Include the title Preliminary Plat after the name of the subdivision. Comments: ☐ ☐ ☐ A vicinity map, with north arrow, indicating the location and street address (if applicable) of the property. Comments: ☐ ☐ ☐ An index on the first page if the plat consists of more than one page, and a graphic index depicting the plan sheets. Comments: ☐ ☐ ☐ Metes and bounds legal description of the subdivision, and total acreage. Comments: ☐ ☐ ☐ The location of lots, lot lines and any existing or proposed easements. Comments: ☐ ☐ ☐ The location of existing and proposed streets, including names widths or rights-of- way. (Street names must be approved by the Enumerations Division within the Pikes Peak Regional Building Department.) Comments: ☐ ☐ ☐ The location of any significant environmental conditions or hazards; e.g., a 100-year floodplain. Comments: ☐ ☐ ☐ A slope map graphically showing existing slopes of 0-10%, 11-15%, 16-20%, 21-25%, and 26% and over, overlain on the proposed subdivision layout. ☐ ☐ ☐ PRELIMINARY PLAT CHECKLIST ---PAGE BREAK--- Town of Monument 645 Beacon Lite Road Monument, CO 80132-0325 Ph: [PHONE REDACTED] Comments: Site data: total subdivision acreage, range of lot sizes, average lot size, and percent of the subdivision platted as lots, rights-of-way open space tracts, parks, trails, and drainage tracts. Comments: ☐ ☐ ☐ Signature blocks for owners, lien holders (if any) and Mayor. See Plat Certifications for signature block text and format. Comments: ☐ ☐ ☐ Evidence of water availability from the Town or a special district. If a special district, attach “will serve” letter. Comments: ☐ ☐ ☐ A drainage study and/or preliminary drainage plan. Comments: ☐ ☐ ☐ A preliminary utility plan and/or technical studies. Comments: ☐ ☐ ☐ A traffic impact analysis or study. Comments: ☐ ☐ ☐ A wildlife impact report. Comments: ☐ ☐ ☐ A geotechnical report. Comments: ☐ ☐ ☐ An improvement survey if existing buildings are located on the property. Comments: ☐ ☐ ☐ A draft Public Improvements Agreement (PIA). Comments: ☐ ☐ ☐ HOA or merchant association documents, if needed to hold and maintain common property. Comments: ☐ ☐ ☐ All signatures in black, permanent ink. Comments: ☐ ☐ ☐ Any other reports and information deemed necessary by Town Staff at the pre- application meeting. Comments: ☐ ☐ ☐ Copies of the submittal materials in a format and quantity as specified by Town Staff. Comments: ☐ ☐ ☐ APPLICANT INFORMATION Date: Completed by: Phone Number Email Address: Notes: TO BE COMPLETED BY STAFF Date: Reviewed by: Completeness Review: Complete: ☐ Incomplete: ☐ Conditional Complete: ☐ Notes: