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SUBDIVISION EXEMPTION CHECKLIST <br />(Board of County Commissioners Discretion) <br />SDE NO. 9G - <br />ONLY COMPLETE APPLICATION PACKAGES WILL BE ACCEPTED <br />~_ Letter of Request (12 copies) <br />_~_ Subdivision Application and Summary Form (12 Copies) <br />~_ Subdivision Exemption Plat Prepared to the Standards of a Land Survey Plat (12 Folded <br />Copies no larger than 12" x 9"and 1 copy rolled). <br />Owner's Statement, Signature-Notarized <br />Dedication <br />~_ Commissioners Certificate <br />v Ycinity Map <br />Ttle With Number <br />Subtitle with Section, Township, Range <br />~_ Minimum Standards 38-51-102, C.R.S. <br />Lot Acreage <br />Legal Description 8 Drawing Consistent <br />Owner(s) Match Title Work <br />All Lot Comers Set or Found <br />Acceptance of Dedication (s) <br />R- MortgageAnterest Holder Signature(s), if applicable <br />Signature-Notarized <br />GPS if Applicable <br />~_ Reduced copy of Plat on 8 1 f2 x 11 paper (12 copies) <br />~_ The applicant wiu srbmit 12 packages, each nackaae containing one of the above items <br />_~ Application Fee <br />TRIe Commibnent on Policy, Attorney's Opinion, or Endorsement with Prior Policy: No <br />Older Than 30 Days From Submittal Date <br />~_Mortgage/Interest Holders <br />y Requirements for Clear Title <br />////, - ~~Exceptions _L - ~~ (Easements, Etc.) <br />Public Improvements and Additional Public Right-of--Way Be Provided as Deemed <br />Necessary By The Board of County Commissioners. <br />Applicable Impact Fees Be Paid <br />Fire Protection Fee Wihin Fire Service Area (Exempt From Fee Shall Be The <br />Frontage of a Lot or Parcel Within The Proposed Subdivision Whicfi is <br />Improved With an Inhabitable Residence in Standard Condition). <br />Agricultural And Residential ... $O.SOtinear Foat of Frontage <br />Other Use ...Determined By Board of County Commissioners <br />School/Park Fee (Exempt is Lot Which Contains Residence) <br />Single-Family ...$171/Dwelling Unit Per Each Lot <br />Multi-Family ... $113/Dwelling Unit Per Each Lot <br />Mobile Home .. $ 91/Dwelling Unit Per Each Lot <br />Fire Hydrant, If Applicable <br />Agricultural and Residential Zone District ...750' Maximum Separation <br />Office, Business, and Industrial Zone District... 500' Maximum Separation <br />"S" Zone District .....Determined By Board <br />Technical Reports (e.g., Drainage Study) As Deemed Necessary By The Board of County <br />Commissioners. <br />APSDE.WPD REV 115195 PAGE 1 <br />