Town of Raymond

Checklist #4 -- Page 1 of 4

(1-03-06)

or building sites, any one of which is 40 acres in size or less, or the division of a block, lot or outlot within a recorded subdivision

plat into not more than 4 parcels or building sites without changing the exterior boundaries of said block, lot or outlot. This

The Town Clerk can be reached by phone at 262-835-4426. This Checklist shall be submitted to the Town Clerk with the CSM

and will be reviewed by the Town Engineer at the time of submittal. All information shall be submitted in hard copy and in

electronic format acceptable to the Town.

Property Location/Address:_________________________________________________________________________

Subdivider:_________________________________________________________ Phone:____________________

Address:_____________________________________________City:________________State:______ Zip:_________

Property Owner (if different from above):______________________________________________________________

Address:_____________________________________________City:_________________State:_____ Zip:_________

Surveyor:_______________________________________________________________ Phone:__________________

    Zoning of Property:_________________________________________________________

1. Has the Subdivider submitted its CSM, executed the predevelopment                         Yes         No*

Agreement, paid the required land division fee of $100 per parcel to be

created, and submitted any required cash deposit for all administrative,

planning, engineering, and legal costs the Town may incur?

2. Has the Subdivider incorporated conservation values, themes and                                 Yes         No*

goals into its design to meet the purposes of the Ordinance as

as indicated under Section 26-182?

3. Has the Subdivider submitted all plans, computations, and                                                 Yes         No*

specifications for any public improvements to be constructed?

4. In cases where public lands or right-of-way are reserved or dedicated                                 Yes         No*

for future construction of public improvements, the Subdivider shall

enter into an agreement with the Town concerning future costs and

liability prior to, or as a condition of, receiving certified survey map approval. If this

applies, has the Subdivider entered into such an agreement?

5. Are any lots in the CSM not to be served by municipal sanitary sewer?                                 Yes         No

If the answer is yes, has the Subdivider conducted and submitted                                                Yes         No*

soil and site evaluations for approval to the Racine County Code

Administration Office and/or the Wisconsin Department of Commerce?

Have the approvals been received?                                                                                                         Yes         No*

6. Has the Subdivider submitted a report of title showing current                                                     Yes         No*

ownership of the property proposed to be divided and all encumbrances?

                                                                                                                                                        Date of Agreement: ________

                                                                                                                                                        Copy of Agreement Attached: ________

                                                                                                                                                        Total Number Parcels Divided: ________

                                                                                                                                                        Total Fee Paid: ________

                                                                                                                                                        Date Paid (attach copy of receipt): ________

Town Engineering Department where necessary.

CSM: Has the Subdivider:

the Wisconsin Statutes, and this Ordinance?

land owned or controlled by Subdivider identifying proposed future development of the parcels, including

approximate street, driveway and building locations?

Requirements. Has the Subdivider provided, in addition to all other information required by Section 236.34, the

following information on the face of the CSM?

            other features pertinent to proper division.

            and wetlands.

            the elevation of the 100-year recurrence interval flood.

        shoreland boundaries, existing wooded areas, slopes of 20 percent or greater, drainageways, rare,

        threatened and endangered species, all environmental corridors as mapped by the Southeastern

        Wisconsin Regional Planning Commission ("SEWRPC") and the county, and other natural resource

        features, views and other prominent visual features.

            monumented and placed on the Wisconsin State Plan Coordinate System by the state department of

            transportation, Southeastern Wisconsin Regional Planning Commission, the county or any city, village

            or town, the map shall be tied directly to one of the section or quarters so coordinated. The exact grid

            bearings and distance of such tie shall be determined by field measurements, and the material and

            Wisconsin State Plan Coordinate System, south zone, and adjusted to the county control survey.

            chapter.

            the map all lands owned or controlled by the subdivider that are contiguous to the land to be divided.

    Subdivider shall submit an executed predevelopment agreement, the requisite fees, the checklist for certified survey maps

    and three (3) copies of the certified survey map to the town clerk. As a condition of further review of the certified survey

    map, the Subdivider shall and hereby does grant permission for town officers, employees and agents to enter upon the

    subject property in furtherance of their official duties.

    All plans, computations and specifications for improvements shall be submitted to the Town at the time of submission of

    t he proposed Certified Survey Map and must be approved by the Planning Commission before Town Board action. The

    Subdivider shall enter into a development agreement in the form required by the Town.

    In cases where public lands or right-of-way are reserved or dedicated for future construction of public improvements, the

    Subdivider shall enter into an agreement with the Town concerning future costs and liability, prior to, or as a condition of,

    receiving certified survey map approval.

    The planning commission may submit the certified survey map to the town engineer or town attorney for review and

    comment.

    agenda item in the planning commission’s meeting notice and may schedule an informational meeting. Notice of the

    planning commission review and, if applicable, the meeting, shall be sent by the subdivider to neighboring property

    owners within 300 feet of the parcel by certified mail, return receipt, at least seven days in advance of the meeting and

    copies shall be filed with the Town prior to the meeting. The cost for such written notice shall be borne by the subdivider.

    After review of the Certified Survey Map and discussions with the subdivider on changes and the type and extent of

    public improvements that will be required, if any, the Planning Commission shall recommend to the town board

    disapproval, approval, or conditional approval of the Certified Survey Map within 45 days of the filing date of the

    proposed final Certified Survey Map.

    The Town Board shall, within 90 days of its submission, approve, approve conditionally or reject the Certified Survey

    Map unless this time limit is extended by written agreement with the Subdivider. Conditions of approval or reasons for

    rejection shall be in writing and the Town Clerk shall communicate such action to the Subdivider.

(a) Has the Subdivider complied with all conditions of approval                 Yes         No

that were imposed by the Town Board?

(b) Has the Subdivider paid all required costs                                                 Yes         No

as a result of the land split?

within 6 months of the Board approval and within 24 months after the first approval of the map.

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