1. The name, address, telephone number, and signature of the applicant. If the applicant is not the property owner, each person with an interest in the property must also sign the application. The application shall designate a single person or entity to receive determinations and notices required by this chapter and Chapter 14.04 AMC;

2. A certification by the applicant showing the entire contiguous land in which there is an interest by reason of ownership, contract for purchase, earnest money agreement or option by any person, firm or corporation in any manner connected with the development, and the names, addresses and telephone numbers of all such persons, firms or corporations;

3. The zoning of the property and contiguous parcels;

4. Six copies of an environmental checklist, one of which must have an original signature;

5. List of adjacent landowners (including names and addresses of all persons of record, as certified by a reputable title company, who own or who are contract purchasers of the real property located contiguous to the proposed subdivision site and outside of the developer’s ownership or partial ownership); and

6. If applicant intends to seek a zoning amendment, variance, planned unit development, site plan approval, or similar quasi-judicial or administrative action, unless applicant requests otherwise, such applications shall be contemporaneously submitted, if appropriate, for simultaneous consideration.

1. Stamp and signature of a Washington State-licensed surveyor;

2. North arrow, scale and date;

3. Name and address of the owner(s) of the property;

4. Parcel numbers for all affected parcels;

5. An original legal description of all existing parcels contained in the boundary line adjustment;

6. Proposed new legal descriptions for the modified lots/parcels;

7. All dimensions and bearings of the exterior boundary lines and proposed lots with ties to at least two known monuments. If necessary, an alternate system may be used with prior approval of the city of Algona engineering department;

8. Names of adjacent subdivisions and adjoining property owners;

9. All section lines within and adjacent to the proposed subdivision;

10. The existing and, if applicable, proposed future method of sewage disposal for each affected lot. Where any lot affected by a subdivision is served or is likely to be served in the future by an on-site sewage disposal system, a percolation test for each such lot may be required by the city engineer when the city engineer finds that the proposed adjustment could adversely affect the ability of such lot to be adequately served by such on-site system;

11. Declaration blocks shall be provided for the lot owner(s), surveyor, approving governmental agencies, and recording certification in a manner as prescribed by the city planner;

12. Existing lots, including their layout, exterior dimensions, size and lot numbers. The line(s) to be adjusted should be dashed and marked as such (“existing line”);

13. Revised lots, including their layout, exterior dimensions, size, and lot numbers. The adjusted line(s) should be solid and noted as such (“revised line”);

14. The total area of the subdivision and rebar and caps set at new lot/boundary corners;

15. Location of all existing structures and their distances to the adjusted line(s). If these structures are to be removed or moved, please note them as such;

16. Main building setbacks required on each revised lot;

17. Location of all existing fences, walls, and other improvements in close proximity to the adjusted line(s), including encroachments, and their distances from the adjusted line(s);

18. All existing and proposed easements within and adjacent to a subdivision. Easements should be labeled (i.e., “Proposed private access and public utility easement to benefit Lot 1”) and existing easements should also include their recording numbers;

19. Location of private utility lines (sewer, water, power, gas, etc.) serving existing structures on the property if those existing structures are to remain;

20. Existing contour lines of the site, as well as proposed new contours, if the proposal involves regrading, are required. Contours shall be at a minimum of five-foot intervals;

21. Location of any wetland or surface water body (stream, pond, lake) on or within three hundred feet of property;

22. Location of any other critical area(s) on the site (geologically hazardous areas, fish and/or wildlife habitat, flood zones or aquifer recharge areas);

23. The location and dimensions of any existing roads, drain fields, easements or rights-of-way existing within any affected lot and other important features adjacent to the proposed subdivision;

24. The area and dimensions of each lot following the proposed subdivision. The square footage computation of each proposed lot or parcel shall be sufficiently accurate to show that each such lot or parcel contains at least sufficient footage to meet minimum zoning requirements;

25. When a subdivision is designed with lot sizes large enough to be capable of further subdivision, the applicant will be required to submit a future development plan depicting that adequate provisions have been made in the proposed short plat for the future needs for access, utilities, drainage, sewerage, transportation, and compliance with environmental regulations and the comprehensive plan of the city and other criteria as set forth in other ordinances of the city;

26. Roads not dedicated to the public must be clearly marked as such on the face of the plat. Any dedication, donation or grant, as shown on the face of the plat, shall be considered to all intents and purposes as a quit claim deed to the grantee or grantees for his, her or their use for the purpose intended by the donors or grantors as aforesaid; and

27. A space for approval by the administrator.

1. City engineer;

2. City building inspector;

3. Planning commission chairman;

4. Supervisor of public works;

5. Valley Regional Fire Authority;

6. Any other governmental body if the subdivision is located within one mile of its jurisdiction; and

7. The Washington State Department of Transportation (WSDOT) if the subdivision is located adjacent to a state highway.