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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 <br />return the checklist and all required documents to the appropriate <br />DNR area hydrologist. <br /> <br />1. <br /> <br />Date of published hearing notice. <br /> <br />2. <br />commissioner of <br />hydrologist. <br /> <br />Date of postmark of hearing notice to <br />the Department of Natural Resources/area <br /> <br />3. <br /> <br />~-~- -~ ~___~__I_\ <br />UC:U;.I; U l. UI;C:U. .LUI:: \ i::) J . <br /> <br />4. <br /> <br />Date of ordinance adoption. <br /> <br />5. If ordinance is published in entirety, date and <br />affidavit of newspaper publication of adopted ordinance (Include <br />three copies of ordinance). <br /> <br />6. If only ordinance summary published, date and <br />affidavit of newspaper publication of ordinance title and summary <br />along with certified copy of adopted ordinance in its entirety from <br />clerk/auditor. (Include three copies of ordinance) <br /> <br />Date of official <br />recorder <br />record book number <br />page number). <br /> <br />filing of adopted ordinance <br /> <br />7. <br />with county <br />( <br /> <br />8. Yes No <br />established? <br /> <br />Board of adjustment and appeals has been <br /> <br />*Note: cities under charter must also submit a list of any <br />additional requirements for hearings, notices, etc. ;;tated-i¿-thl:!i~ <br />charter. Please specify: <br /> <br />Signature of Clerk/Auditor <br /> <br />d .--- <br />