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Subdivision name: Address: Owner/Applicant Name: Address: City: State: Zip: E-mail: Phone: Subdivider, if different from the owner: Address: City: State: Zip: Email: Phone: Engineering and/or Surveying Contact: Address: City: State: Zip: Phone: E-mail: What type of amendment is proposed? (Check one) □ Adjusting a boundary line between two or more subdivisions □ Creating one or more lots in a platted subdivision. □ Adjusting public utility lines in a platted subdivision □ Dedication of any land for street or other public purposes in a platted subdivision. Preliminary Checklist □ One current copy of the Weber County ownership plat(s) showing the proposed subdivision and all contiguous property. These plats are available on the 3rd floor at 2380 Washington Blvd, or on this website: http://www3.co.weber.ut.us/psearch/ summary.php □ 2 copies of a recent, preliminary title report which identifies ownership, easements, liens or other encumbrances and verifies payment of taxes and assessments. □ 12 copies of a preliminary plan amendment to include: Name of the subdivision Include all land within 100 feet from the subject property The boundaries, course, and dimensions of the property to be amended The location, widths and other dimensions of all existing or platted streets and other important features of the subject prop- erty which may affect development, including, but not limited to, easements of record, railroad lines, watercourses, floorplains, exceptional topography and buildings within the tract or within one hundred feet of the tract to be amended. The location and size of existing sanitary sewers, storm drains, water supply mains and culverts within the subject property or within one hundred feet thereof. The location, widths and other dimensions of proposed blocks, streets, alleys, easements, lots, units and common areas. Proposed special features, such as detention basins, shared access areas, parks. The names of the subdivider and the engineer or surveyor of the subdivision amendment (continued on back) Ogden City Development Services 2549 Washington Blvd. Suite 240 Ogden, Utah 84401 (801) 629-8930 Subdivision Amendment Please print legibly and complete all areas: ---PAGE BREAK--- □ An initial public improvement plan to include: (if required) The proposed location and size of all proposed sanitary sewers, water mains, storm sewers and storm detention basins, and their connection to existing facilities, including manholes, fire hydrants, and valves. Identify the water pressure in existing water mains. Proposed grades and widths of streets Sufficient information to show how proposed mains and lines will be fed by gravity Any proposed variations from the standards for public improvements adopted under Chapter 3 of the Subdivision Ordinance All private streets and any or all portions of water, sanitary sewer, or storm sewer facilities located within private streets, which the subdivider is requesting to be owned and maintained by the City □ FEES: $400 □ Sensitive Area Overlay Zone: $600 + $150/lot or unit + $1000 for geologic report review + cost of 3rd party review