COMMUNITY DEVELOPMENT DEPARTMENT 655 North 1250 West Centerville, Utah Phone: (801) Fax: (801)

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SUBDIVISION - CONCEPTUAL APPLICATION TITLE 15 SUBDIVISION ORDINANCE 15-2-101 A concept plan is required of all sub-dividers. Concept plan review provides the sub-divider with an opportunity to consult with and receive assistance from the City regarding the regulations and design requirements applicable to the proposed subdivision of property. COMMUNITY DEVELOPMENT DEPARTMENT 655 North 1250 West Centerville, Utah 84014 Phone: (801) 292-8232 Fax: (801) 292-8251 Updated March 1, 2010

CENTERVILLE CITY SUBDIVISION CONCEPTUAL APPLICATION 655 North 1250 West Centerville, Utah 84014 Phone 801-292-8232 Fax 801-292-8251 NAME OF PROJECT PROJECT ADDRESS ZONING PARCEL #(S) ACREAGE PROPOSED USE OF PROPERTY APPLICANT / AGENT INFORMATION NAME COMPANY NAME MAILING ADDRESS CITY / ST / ZIP PHONE FAX EMAIL See Note 1 SIGNATURE OF APPLICANT/AGENT DATE PROPERTY OWNER INFORMATION (1) NAME COMPANY NAME MAILING ADDRESS CITY / ST / ZIP PHONE FAX EMAIL See Note 1 SIGNATURE OF PROPERTY OWNER DATE PROPERTY OWNER INFORMATION (2) NAME COMPANY NAME MAILING ADDRESS CITY / ST / ZIP PHONE FAX EMAIL See Note 1 SIGNATURE OF PROPERTY OWNER DATE FEE AND DEPOSIT MUST ACCOMPANY THIS APPLICATION SEE ATTACHED FEE SCHEDULE Date Rec d Rec d / Initials Fee/Deposit Attached Y or N Amount Fee Paid $ 400.00 Assigned Project Name Amount of Deposit Paid $ 500.00 Check #: Note 1: Deposits will be applied toward the cost of required engineering and/or legal services invoiced to the City. Developer/Applicant will be refunded or billed any difference without markup. Hourly rates for these services will be provided upon request. Also any errors or corrections needed for submitted plans are the responsibility of the developer/applicant. Initial here for acknowledgement of deposits

REQUIREMENTS FOR CONCEPTUAL SUBDIVISION The applicant must submit the following information to the Community Development Department, 655 North 1250 West. Additional information may be requested after the formal application is received. 1. Application 2. Filing Fee 3. Submit three (3) copies of plan 4. Culinary and irrigation water 5. Describe any area in the current FEMA flood plain 6. Soil and subsurface water profiles where known problems exist 7. Public notice and public hearing 8. Planning Commission approval A full application must be submitted, including a signed affidavit. Fee must accompany each application, see attached fee schedule The Concept Plan needs to show the proposed layout and use of the property. Please include on the plan: Proposed subdivision name Significant natural / manmade features on site and within 500 feet. Property boundaries of the proposed subdivision including square footage and acreage. Five (5) foot interval topographic contours North arrow Proposed lot and street layout Describe the size and location of sewer, storm drain, subsurface drain Document secondary water rights. This information can be obtained at the Centerville City s Public Works Offices at 655 North 1250 West, 292-8232. The City Engineer may request a soils report Public notice will be given for the meeting and notification of the meeting time and date will be sent to the applicant. After the Planning Commission has given approval, the applicant may begin preparing for the preliminary application. If the proposal is denied, the applicant may appeal the decision within 14 days of approval [12-21-200(c)]. PROCEDURES FOR SUBDIVISION DEVELOPMENT 1. All applications must be submitted three (3) weeks prior to each Planning Commission Meeting. See the current Planning Commission meeting schedule for dates and times. 2. Schedule an appointment to meet with City Staff at a Development Meeting to discuss your proposal. Meetings are scheduled every Monday morning starting at 9:30 a.m. and then every 45 minutes after the first meeting. At this meeting Staff will get familiar with your proposed subdivision by talking about location, zoning requirements, items to be included on the conceptual plans, and any ordinances that need to be followed. 3. After the application is found to be complete your project will be scheduled on the next available Planning Commission. A public hearing will be scheduled, the property will be posted, staff will prepare a report and you will receive a copy along with information regarding the time and location of the meeting. 4. At the Planning Commission staff will prepare your request and you will be given an opportunity to present as well. The Planning Commission will either accept or deny the conceptual plan. 5. After your project has been approved you will need to start working on submitting the preliminary subdivision application. If your request is denied, you may file a written notice of appeal [12-21-200(c)] fourteen (14) days from the date of the decision being appealed and stating the grounds for the appeal, this may be done with the city recorder

CENTERVILLE CITY FEE SCHEDULE BOARD OF ADJUSTMENT If Yes FEE DEPOSIT APPEAL OF PLANNING & ZONING APPLICATION ½ ORIGINAL FEE N/A VARIANCE $ 250.00 + LEGAL & ENG ALL OTHERS $ 250.00 + LEGAL & ENG CONDITIONAL USE PERMIT If Yes FEE DEPOSIT STANDARD OR TEMPORARY $ 300.00 N/A HOME OCCUPATION $ 150.00 N/A TEMPORARY USE PERMIT If Yes FEE DEPOSIT STANDARD $ 250.00 N/A GENERAL PLAN AMENDMENT If Yes FEE DEPOSIT LAND USE MAP $ 300.00 N/A TEXT CHANGE N/A $ 250.00 1 LOT SPLITS If Yes FEE DEPOSIT WITHOUT OFF-SITE IMPROVEMENTS $ 250.00 $ 250.00 2 WITH OFF-SITE IMPROVEMENTS $ 400.00 $ 500.00 2 PLAT AMENDMENT If Yes FEE DEPOSIT AMEND SUBDIVISION PLAT $ 300.00 $ 500.00 2 SITE PLAN - CONCEPTUAL If Yes FEE DEPOSIT WITHOUT OFF-SITE IMPROVEMENTS $ 250.00 $ 250.00 2 WITH OFF-SITE IMPROVEMENTS $ 250.00 $ 500.00 2 SITE PLAN FINAL If Yes FEE DEPOSIT WITHOUT OFF-SITE IMPROVEMENTS $ 250.00 $ 250.00 2 WITH OFF-SITE IMPROVEMENTS $ 250.00 $ 500.00 2 SITE PLAN - AMENDED If Yes FEE DEPOSIT WITHOUT OFF-SITE IMPROVEMENTS $ 250.00 $ 250.00 2 WITH OFF-SITE IMPROVEMENTS $ 250.00 $ 500.00 2 SUBDIVISION DEVELOPMENT If Yes FEE DEPOSIT CONCEPTUAL PLAT $ 400.00 $ 500.00 2 HILLSIDE OVERLAY AREA $ 1,200.00 $ 1,500.00 2 PRELIMINARY PLAT $ 400.00 $ 500.00 2 FINAL PLAT $ 400.00 $ 500.00 2 ZONE MAP AMENDMENT (REZONE) If Yes FEE DEPOSIT AMEND ZONING ON PROPERTY $ 400.00 + LEGAL & ENG AMENDING CITY ORDINANCE If Yes FEE DEPOSIT ZONE TEXT CHANGE N/A $ 250.00 1 LAND USE AUTHORITY If Yes FEE DEPOSIT Exchange of Title $ 125.00 $ 250.00 2 1 Plus any legal, engineering and/or staff costs associated with the project 2 Plus any legal and/or engineering associated with the project Deposits will be applied towards the cost of required engineering and/or legal services invoiced directly to the City. Developers will be refunded or billed any difference without markup. Final approval of those matters requiring a professional services deposit or payment of professional services will be conditioned upon the applicant making full payment for professional services costs incurred by the City to that date

Centerville City Planning and Zoning Application Process Timeline Sunday Monday Tuesday Wednesday Thursday Friday Saturday Week 1 Submit Staff Staff Application Review for Review for Completeness Completeness Week 2 Week 3 Development Team Post Notice on Review of Application Paper Site and/or Publication Hearing Notice Send Notice of Public Date at Three Hearing to the Paper Public Places Prepare Development Prepare Prepare Prepare Packets, Post Team Staff Staff Staff PC Agenda Follow Up Report Report Report and Notify Applicants Week 4 Planning Commission Meeting

AFFIDAVIT PROPERTY OWNER STATE OF UTAH } }ss COUNTY OF DAVIS } I (We),, being duly sworn, depose and say that I (we) am (are) the owner(s) of the property identified in the attached application and that the statements herein contained and the information provided in the attached plans and other exhibits are in all respects true and correct to the best of my knowledge. I also acknowledge that I have received written instructions regarding the process for which I am applying and the Centerville City Planning Staff have indicated they are available to assist me in making this application. (Property Owner) Subscribed and sworn to me this day of, 200 _. (Property Owner) (Notary Public) Residing in Davis County, Utah My Commission Expires AGENT AUTHORIZATION I (we),, the owner(s) of the real property described in the attached application, do authorize as my (our) agent(s) to represent me (us) regarding the attached application to appear on my (our) behalf before any administrative or legislative body in the City considering this application and to act in all respects as our agent in matters pertaining to the attached application. (Property Owner) (Property Owner) Dated this day of, 200_, personally appeared before me, the signer(s) of the above agent authorization who duly acknowledged to me that they executed the same. (Notary Public) Residing in Davis County, Utah My Commission Expires

Centerville City Community Development Department 655 North 1250 West, Centerville, Utah 84014 Phone (801) 292-8232 Fax (801) 292-8251 UTILITY PROVIDER REVIEW SHEET Dear Provider: We have recommended that utility providers review and comment on development proposals in Centerville City. Please review the plans submitted to you and answer the following questions: Dated: Project: Developer: 1. We can provide service? Yes No 2. We will require additional and/or different configuration of easements? Yes No If yes, please detail on the plans 3. Any special on-site or off-site requirements? Yes No 4. Are there fees required from the Developer before utility company improvements can be installed? Yes No 5. Other comments? Verified by: (Name and Title of Reviewer) (Bus. Phone) (Name of Agency/Utility Company) (Dated) If you have any questions regarding this form, please call: Community Development Department at 292-8232, Randy Randall (Public Works) at 292-8232 or Fred Campbell (City Engineer) at 263-1752

UTILITY PROVIDER LIST COMCAST COMMUNICATIONS 752 North Marshall Way Layton, Utah 84041 Contact: Rodney Bell/Sheryl Pherson Phone: 801.485.0500 ext 3031 Fax: 801.255.2711 www.comcast.com CENTERVILLE DEUEL CREEK P O Box 429 Centerville, Utah 84014 Phone: 801.298-3675 Fax: 801.298.2229 DAVIS COUNTY HEALTH DEPT** P O Box 618 50 East State Street (Annex Bldg) Farmington, Utah 84025 Phone: 801.451.3296 Fax: 801.451.3242 QUESTAR GAS P O Box 45360 1140 West 200 South Salt Lake City, Utah 84145-0360 Contact: Bill Hines, Contract Specialist Phone: 801.324.3796 Fax: 801.324.3969 QWEST COMMUNICATIONS 431 26 TH Street Ogden, Utah 84401 Contact: Matt Ivester Email: matt.ivester@qwest.com Phone: 801.626.5401 Fax: 801.626.5303 ROCKY MOUNTAIN POWER 1569 West North Temple Salt Lake City, Utah 84116 Contact: Scott Hopkinson Phone: 801.220.7203 Fax: 801.220.7318 SOUTH DAVIS METRO FIRE AGENCY P O Box 1547 255 South 100 West Bountiful, Utah 84011 Contact: Steve or Dave Phone: 801.677.2412 Fax: 801.677.0166 SOUTH DAVIS SEWER DISTRICT 1800 West 1200 North West Bountiful, Utah 84087 Contact: Dal Wayment Phone: 801.295.3469 Fax: 801.295.3486 UTAH DEPT OF TRANSPORTATION** 2010 South 2760 West Salt Lake City, Utah 84104 Contact: Alan Loiacono Phone: 801.975.4810 Fax: 801.975.4979 UTOPIA** Broad Dog Technology 802 East Bamberger Avenue Suite A American Fork, Utah 84003 Contact: Jared Bezzant Phone: 801.763.2110 x 112 Fax: 801.772.3108 jared@broad-dog.com WEBER BASIN WATER DISTRICT 2837 East Highway 193 Layton, Utah 84040 Contact: Jeff Bresee, Engineering Dept Phone: 801.359.4494 Fax: 801.544.0103