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PRELIMINARY PLAT CHECKLIST <br /> Date Application No. <br /> Subdivision <br /> The following item(s) (does, does not) conform with the requirements of the <br /> Burnett County Subdivision Regulations. Those items not conforming are <br /> explained on the attached page. <br /> Does Does Not Item <br /> 1. Name of Subdivision (no duplication permitted) <br /> 2. locational Description <br /> 3. y Name and address of owner, subdivider, surveyor and <br /> engineer <br /> 4. Proper scale <br /> 5. Date and North point <br /> 6. 1 Names of adjacent subdivision and owners <br /> 7. Zoning classification of all major percels and proposed <br /> \ changes <br /> B. x Location, width, and names of existing streets, <br /> right-of-ways, easements <br /> 9. Corporation, township, range, section lines <br /> 10. Location of existing utilities including sewers, water <br /> lines, and communication lines or poles <br /> lY. X Layout, names and widths of proposed streets or easements <br /> and proper dedications <br /> 12. Layout and approximate demensions of all lots <br /> 13. Designated wetlands and floodplains <br /> 14. Other information as specified <br /> Signature <br /> Title/P ' tion <br />