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<br />APPENDIX B <br /> <br />ORDINANCE CERTIFICATION CHECKLIST <br />[CITY/COUNTY NAME] <br /> <br />Once all the below listed tasks are completed, please sign and return the checklist and all required <br />documents to the appropriate DNR area hydrologist. <br /> <br />Date of published hearing notice. <br /> <br />1. <br /> <br />2. Date of postmark of hearing notice to commissioner of the Department of <br />Natural Resources/area hydrologist. <br /> <br />Date ofhearing(s). <br /> <br />3. <br /> <br />Date of ordinance adoption. <br /> <br />4. <br /> <br />5. Ifordinance is published in entirety, date and affidavit of newspaper <br />publication of adopted ordinance (Include three copies of ordinance). <br /> <br />6. If only ordinance summary published, date and affidavit of newspaper <br />publication of ordinance title and summary along with certified copy of adopted ordinance in its <br />entirety from clerk/auditor. (Include three copies of ordinance) <br /> <br />( <br /> <br />Date of official filing of adopted ordinance with county recorder <br />record book number <br />page number). <br /> <br />7. <br /> <br />8. Yes No Board of adjustment and appeals has been established? <br /> <br />*Note: Cities under charter must also submit a list of any additional requirements for hearings, <br />notices, etc. stated in their charter. Please specify: <br /> <br />Signature of Clerk/Auditor <br />