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1 FINAL PLAT APPROVAL FORM Date 1. Name of Subdivision 2. Location: 1/4 Section Township Range For Amended Plats: Lot(s) Block(s) Subdivision 3. Name, address and telephone number of subdivider: 4. Name, address and telephone number of persons of firms providing services and information surveyor, engineer, designer, planning consultant, attorney): 5. Descriptive Data: a. Gross area in acres b. Number of lots or rental spaces c. Existing zoning or other 6. Date Preliminary Plat Approved: 7. Any Conditions? (If Yes, attach list of conditions.) 8. Any Deed Restrictions or covenants? (If Yes, attach a copy.) 9. All improvements installed? (If No, attach a subdivision improvements agreement or guarantees.) 10. List of materials submitted with this application: a. b. c. ---PAGE BREAK--- 2 d. e. f. I do hereby certify that all the statements and information and the statements and information contained in all exhibits transmitted herewith are true. I hereby apply to the Governing Body of Butte-Silver Bow County for approval of the final plat of (Name of Subdivision). Subdivider FOR OFFICIAL USE ONLY 1. Application Number 2. Date Application Submitted 3. Date by which Final Plat must be approved or rejected