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Dat eApplication No. <br /> Subdivision C51LI, Sk'6uj 33 <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 Not Applicable <br /> 1. c✓ Submitted within 12 months of preliminary <br /> approval <br /> 2. Conforms to preliminary plat and incorporates <br /> suggested changes .. <br /> 3. ., Name of subdivision <br /> 4. ✓ Proper scale <br /> 5. L✓ Date and North Point <br /> 6. ✓ Locational Description <br /> 7. Name and address of owner, surveyor and <br /> engineer <br /> 8. Accurate survey data-seconds; lineal dimensions <br /> to hundreths of feet; radiii; internal angles; <br /> points of curvature; tangent bearing; lengths of <br /> arcs; lengths of cords. <br /> 9. v Bearings and distances to permanent monuments <br /> 18. ✓ Name, location, width, and centerline of streets <br /> 11. ✓ Lot numbers and dimensions <br /> 12. _� Location and description of monuments <br /> 13. Building setback lines <br /> 14. Parks and open space and proper dedications <br /> 15. Final improvement plans <br /> 16. Installation or guarantee of installation of <br /> improvements <br /> 17. Required final certifications <br /> Signature <br /> Title/Position <br />