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Town of Monument 645 Beacon Lite Road Monument, CO 80132-0325 Ph: [PHONE REDACTED] An application for PLAT 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 Plat size: twenty-four (24) inches by thirty-six (36) inches, with a one-half-inch margin on the top, bottom and right-hand side and a one-and-one-half-inch margin on the left-hand side. Comments: ☐ ☐ ☐ Sheets shall be numbered in sequence if more than one sheet is used. Comments: ☐ ☐ ☐ Title: The title shall include the type of subdivision (Final Plat) and the following addition information: ▪ Subdivision Name ▪ Prior Reception Numbers (Plat Amendments only) ▪ Legal Description ▪ Town of Monument, El Paso County, Colorado Comments: ☐ ☐ ☐ A blank 2¼" x 3" vertical box in the lower right-hand corner of the plat inside the margin, for use by the El Paso County Clerk and Recorder to place a recording stamp. Comments: ☐ ☐ ☐ Each sheet shall show the written and graphic scale, north arrow and date of survey preparation. Comments: ☐ ☐ ☐ A general vicinity map. Comments: ☐ ☐ ☐ Names and addresses of the applicant and surveyor. Comments: ☐ ☐ ☐ A statement by the surveyor of the basis of bearing for laying out the boundaries. Comments: ☐ ☐ ☐ A description of all monuments, both found and set, which mark the boundaries of the property, and a description of all control monuments used in conducting the survey. Comments: ☐ ☐ ☐ Signature and seal of the land surveyor. See Plat Certifications for signature block text and format. Comments: Signature blocks for owners, lien holders (if any) and Mayor. See Plat Certifications for signature block text and format. Comments: ☐ ☐ ☐ Dedication and depiction of access rights-of-way to adjacent lands, if applicable. See Plat Certifications for signature block text and format. Comments: All recorded and apparent easements and right-of-ways on and/or adjacent to the property. Comments: PLAT SPECIFICATIONS CHECKLIST ---PAGE BREAK--- Town of Monument 645 Beacon Lite Road Monument, CO 80132-0325 Ph: [PHONE REDACTED] A land and improvements survey and metes-and-bounds legal description of the property in question by a registered surveyor. Comments: All dimensions necessary to establish the boundaries in the field. Comments: All signatures in black, permanent ink. 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: