Plot Plan Form - Timnath, Colorado

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Case#:___-_____-_____
PLOT PLAN
Proj. Name: _________________
(Fee Agreement)
Planning Department
970-224-3211
APP.
TOWN
Application Fee;
CK#: _________________; Amt: $_________________
Signed Fee Agreement;
CK#: _________________; Amt: $_________________
Poudre Fire Authority Development Review Fee of $_____.__
Plot Plan Map
(Copies ____________)
Title of project ............................................................................................................................................................
_
_
North arrow, scale (not greater than 1"=20') and preparation date .............................................................................
_
_
Name, address and phone number of property owner ................................................................................................
_
_
_
Lot number, block number and name of subdivision .................................................................................................
_
Lot size (square footage) ............................................................................................................................................
_
_
Bearings and distances of all lot lines ........................................................................................................................
_
_
Existing easements on the lot .....................................................................................................................................
_
_
Footprint of the proposed building or structure, dimensioned ...................................................................................
_
_
_
Square footage of the proposed building and the footprint of the proposed building ................................................
_
Distance from the proposed building or structure to all lot lines ...............................................................................
_
_
All existing buildings or structures on the lot ............................................................................................................
_
_
Driveway ....................................................................................................................................................................
_
_
Existing and/or proposed water and sewer service lines on the lot ............................................................................
_
_
_
Elevations of the finished floor for the house and garage ..........................................................................................
_
Ground elevation 10 feet away from the house and garage........................................................................................
_
_
Elevations at lot corners .............................................................................................................................................
_
_
Height of all proposed buildings ................................................................................................................................
_
_
_
Right-of-way landscaping ..........................................................................................................................................
_
Community Design Principles Description
Demonstrate in written and/or graphic form the proposed structure is consistent with Article 2 of the Land Use
Code.
Drainage Information
Submit documents above with a copy of this form and a completed Land Use Application.
Date Submitted to Town: _____________
Application Certification of Completion
Staff will review the map to make sure is it consistent with the review criteria (§16-4-9.C). Staff will prepare a
written report outlining any changes that must be made to the plot plan before it can be approved.
T
C
C
A
OWN
ERTIFICATION OF
OMPLETED
PPLICATION
Signed:_____________________________
Date:____________________
Address Staff Comments (Submit to Town Clerk)
Plot Plan Approval
Staff completes final review of plot plan to ensure that comments have been addressed and the Plan is complete.
If the Plan is complete, Staff may approve.
File Location: L:\OFFICE INFORMATION\TEMPLATES\APPLICATIONS\WORD DOCUMENT\PLOT PLAN TECH FORM.DOC
Last Saved: 7/11/2011 5:58 PM
Page: 1 of 1

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