Form Re 665 - Master Geographic Letter Form - California Bureau Of Real Estate Page 2

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RE 665 — Reverse
Dedications
Flood Control Requirements
Before the city/county will approve a final subdivision map,
The city/county does not approve any subdivision map with
the subdivider must dedicate the following for public use:
the knowledge of existing or probable flood hazards. Where
Streets
flood hazards can be eliminated by protective construction,
Easements for public utilities
the city/county will approve a final subdivision map subject
Easements for sanitary and storm sewers
to completion of the specified construction. Completion is
Other: __________________
____
assured by financial arrangement in the amount of not less
than __________% of the estimated cost of construction, by:
A surety bond
A cash deposit (in a neutral escrow with the city)
An irrevocable letter of credit
Other: _____________
_________
Dedication acceptance — Check one
The city/county will accept these dedications upon
approval of the final subdivision map.
The city/county will not accept these dedications upon
approval of the final subdivision map.
In all cases where rights-of-way for flood control
channels are required under the ______________
Public maintenance acceptance — Check one
______________________________ Flood Control
The city/county agrees to accept for public
General Plan, the subdivision map is referred to the
maintenance the land and improvements so dedicated
____________________________________ for
upon completion to city/county specifications.
approval prior to approval by the city/county.
The city/county does not agree to accept for public
maintenance the land and improvements so dedicated
upon completion to city/county specifications.
The subdivider is obligated under his agreement with the city/
county to maintain the land and improvements so dedicated
until the city/county accepts them for public maintenance.
This maintenance obligation of the subdivider is secured in the
amount of not less than __________% of the total estimated
cost of the subdivision improvements by:
A surety bond
A cash deposit (in a neutral escrow with the city)
An irrevocable letter of credit
Other: ________________
______
In the event that an exception to any requirement referred to in this letter should be permitted by any
department of the city/county, the exception will be noted on the title sheet of the recorded map.
The representations made in this letter shall be effective upon the expiration of the current letter, or for
revisions or new submittals, upon receipt by the Bureau of Real Estate. This letter will expire on the third May
31st after the effective date unless the submitting authority indicates otherwise below.
May 31, ________
Effective Date:
____________________________
Expiration Date:
Signature of authorized City/County offiCial
date
Printed name
title
Phone number
ComPlete addreSS

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