HomeMy WebLinkAboutSubdivision - Final Short.pdfA Final Short Subdivision shall be submitted to the Director within five (5) years of the date that the preliminary
approval became final or the short subdivision shall become null and void
A. A complete application is required at the time of submittal. Please answer all questions on the
application clearly and completely.
B. The City's application form must be used.
APPLICATION
A. The following documents are required at time of submittal, unless otherwise indicated. A complete
application will include:
1. Completed Final Short Subdivision Checklist, Land Division Application and Declaration of
Agency form
2. Proof of ownership (copy of deed)
3. Final Plan Drawings:
a. All drawings shall be to scale on an 18" x 24" sheet of paper (multiple sheets may be
used); and
b. Contain the illustration information set forth in MMC 16.73.110(C)(3), except the Director
may approve a scale up to one -inch equals 200 feet in order to fit the layout of a plat on a
single sheet; and
c. Meet the survey requirements set forth in MMC 16.73.070; and
d. Include addressing of individual lots assigned by the City; and
e. Certificate for the approval signatures detailed in MMC 16.73.090; and
f. Treasure's certificate to ensure payment of taxes; and
g. Other information requested during the preliminary short plat or plat approval.
4. If the short subdivision includes a dedication, the following statements shall be included:
a. The dedication of all streets and other areas to the public, and individual or individuals,
religious society or societies, or to any corporation, public or private, as shown on the plat;
b. A waiver of all claims for damages against any governmental authority which may be
occasioned to the adjacent land by the established construction, drainage and
maintenance of said road;
c. Said statements shall be signed and acknowledged before a notary public by all parties
having any interest in the lands subdivided.
B. Lot Numbering. Lots shall be consecutively numbered; tracts shall be lettered alphabetically and in
consecutive order.
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Rev. 11/2021
C. Plat Certificates. Three copies of a plat certificate for the subject property shall accompany a final
subdivision application.
D. Perimeter lot closures for all lots, tracts, and the exterior boundary.
II. FINAL SHORT SUBDIVISION PROCESS
A. Please submit the items listed above and any other information which may be required by the City
at the time the application is filed.
B. Staff will make a preliminary review to verify all information and identify corrections. Once all
corrections have been made, the applicant will submit a final drawing (Mylar not required) with the
property owner(s) signature(s). Original signatures are required. Once the appropriate city approval
signatures are secured, the applicant will record the document with King County. The City requires
one recorded copy.
Ill. CRITERIA FOR APPROVAL
A. Before a final short subdivision may be granted, the Director or Designee shall find that the final
short subdivision:
1. Conforms to all terms of the preliminary approval; and
2. Meets all zoning and engineering requirements; and
3. Meets all requirements of MMC 16.73; and
4. Mets all applicable local and state laws that were in effect at the time of vesting; and
5. Improvements have been constructed, or a bond or other security has been secured at 130
percent of the estimated construction value accepted by the city.
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This checklist contains the minimum submission requirements for final short subdivision that are due at the time
of submittal. Please note that not all items listed may apply to your submittal.
OMPLETE APPLICATION
❑
Final Short Subdivision Checklist
Land Division Application:
❑ Application form
❑ Signature of applicant/agent
El
Declaration of Agency form
El
Proof of Ownership (copy of deed)
El
Final Plan Drawings with required information
El
Plat Certificates
El
Any related information and/or studies (as applicable)
Rev. 11/2021
This application is for: ❑ Preliminary Short Subdivision ❑ Preliminary Subdivision
❑ Final Short Subdivision ❑ Final Subdivision
Owner Name:
Mailing Address:
City: State: Zip:
Email:
Phone:
Name:
Email:
Contact Phone:
Alternative Phone:
Mailing Address:
City: State: Zip:
General Location/Address:
Legal Description:
Tax Parcel Number:
Lot Size:
Date Lot was Created:
Is the lot within 200 feet of the shoreline?
Zoning:
❑ YES LINO
PRIMARY ACCESS TO INDIVIDUAL LOT(S) WILL BE FROM (Check all the apply):
❑ Public Right -of -Way
Name of Street(s):
❑ Private Lane (see chapter 16.91 MMC)
Name of Nearest Intersecting Public Street:
PROVIDE THE FOLLOWING INFORMATION FOR THE NEW LOT(S):
Lot Area Dimensions
Length of Front Property Li
(when access is by a priva
Gross* Net Lot Width
Street Frontage
lane)
* Gross area does not include area over water
Page 1 of 4 Rev. 11/2021
PROVIDE THE FOLLOWING INFORMATION IF BUILDINGS WILL REMAIN AFTER RECORDING:
Structural Coverage
Impervious
Setbacks
Surface Coverage
Front
Rear
Side
I certify under the penalty of perjury that I am the owner of the above property or the duly authorized agent of
the owner(s) acting on behalf of the owner(s) and that all information furnished in support of this application is
true and correct.
Signature
Signature
Owner ❑ Agent ❑ Date
Owner ❑ Agent ❑ Date
Page 2 of 4 Rev. 11/2021
SHORT SUBDIVISION
ATTACHMENT A
CERTIFICATE OF OWNERS' FREE CONSENT:
Declaration:
We the undersigned owner(s) of interest in the land herein described do hereby make a short subdivision pursuant
to ROW 58.17.060 and declare this short subdivision to be the graphic representation of the same, and that said
short subdivision is made with the free consent and in accordance with the desire of the owner(s).
In witness where of we have set our hands and seals
OWNER(S):
(Print Owner's Name) (Print Owner's Name)
NOTARIZE PROPERTY OWNER SIGNATURES:
STATE OF WASHINGTON
COUNTY OF KING
I, the undersigned, a Notary Public in and for the County of King in the State of Washington, do hereby certify that
on this day of , 20, personally known (or proven on the basis of satisfactory
evidence) to be the individual who executed the within instrument and foregoing instrument, and acknowledge
that she/he signed and sealed the same as a free and voluntary act and deed for the uses and purposes therein
mentioned.
Given under my hand and official seal this day of , 20
Notary Public in and for the State of Washington
residing at
Page 3 of 4 Rev. 11/2021
ATTACHMENT A (Continued)
APPROVAL CERTIFICATES:
APPROVAL:
This short subdivision is in conformity with applicable zoning requirements and other land use controls which
existed at the time of a complete application and is hereby approved this day of , 20
Director of Development Services
King County Department of Assessments:
Examined and approved this day of _____________,20_
Assessor Deputy Assessor
Account No:
Recorder's Certificate:
Recording No.
Filed for record at the request of the City of Medina this day of , 20_ at
and recorded in book of surveys at page(s)
Manager Superintendent of Records
STATEMENTS TO BE INCLUDED:
Approval of this short plat does not guarantee the approval of any future permits and/or approvals.
Pursuant to RCW 58.17.060, the land within this short subdivision may not be further divided in any manner
within a period of five years without the filing of a final plat.
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