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Date j /7* Application No. <br /> SubdivisionL. 3- �7o- rd-/`/ . ri'errcr7-6'-- ��--- <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. Submitted within 12 months of preliminary <br /> approval <br /> C� <br /> 2. Conforms to preliminary plat and incorporates <br /> suggested changes .. <br /> 3. Name of subdivision <br /> 4. Ptoper scale <br /> 5. Date and North Point <br /> 6. !i' Locational Description <br /> 7. — Name and addregs of owner, surveyor and <br /> engineer <br /> B. t/ 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. Bearings and distances to permanent monuments <br /> le. t 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. L- Final improvement plans <br /> 16. Installation or guarantee of installation of <br /> improvements <br /> 17. ( l/ Required final certifications <br /> Signature <br /> Title/Position <br />