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Town of Monument 645 Beacon Lite Road Monument, CO 80132-0325 Ph: [PHONE REDACTED] An application for ANNEXATION shall be accompanied by the following information, unless one or more items are specifically waived in writing by the Planning Director: PROJECT NAME: APPLICATION REQUIREMENTS Applicant Staff N/a Development Review Application form. Comments: ☐ ☐ ☐ Application fee. Comments: ☐ ☐ ☐ Proof of legal ownership in the form of a current title policy. Comments: ☐ ☐ ☐ Project narrative or Letter of Interest including: • statement of purpose/intent • analysis of conformance with Comprehensive Plan/Growth Plan • Fiscal analysis • Metro District plans, if any Comments: ☐ ☐ ☐ Vicinity map (8.5 x 11) ☐ ☐ ☐ Annexation petition. Comments: ☐ ☐ ☐ Annexation plat to include: Name of Annexation Scale North Arrow Vicinity Map Legal description and acreage with relation to Town monuments. Notes describing any covenants, easements, etc. Location of each ownership parcel with the name(s) of the owner(s) for all unplatted land in the proposed annexation. Shading sowing contiguous boundary of the Town of Monument. Contiguity calculations Plat names of platted land adjacent to the proposed annexation Surveyor’s statement and certification. Property owners certification. Certificates for: Surveyor, Owner, Town Council, Planning Director, and County Clerk & Recorder. Comments: ☐ ☐ ☐ Annexation Impact Report (if 10 acres or more) Comments: ☐ ☐ ☐ Annexation and/or Development Agreement. Comments: ☐ ☐ ☐ ANNEXATION CHECKLIST ---PAGE BREAK--- Town of Monument 645 Beacon Lite Road Monument, CO 80132-0325 Ph: [PHONE REDACTED] Typed legal description of the property, titled Exhibit A. Comments: ☐ ☐ ☐ Initial zoning request – include request in narrative, provide arguments for conformance with comprehensive plan. Comments: ☐ ☐ ☐ Conceptual land use plan Comments: ☐ ☐ ☐ Will serve letters from utility, fire protection and police protection organizations Comments: Water rights and conveyance documents. Comments: ☐ ☐ ☐ Any other reports, documents or information deemed necessary by Town Staff (traffic impact reports, drainage reports, wildfire mitigation reports, etc.). Comments: ☐ ☐ ☐ APPLICANT INFORMATION Date: Completed by: Phone Number Email Address: Notes: TO BE COMPLETED BY STAFF Date: Reviewed by: Completeness Review: Complete: ☐ Incomplete: ☐ Conditional Complete: ☐ Notes: