APPLICATION FOR SITE DEVELOPMENT PLAN APPROVAL

Preliminary [] Date:_________________ Final [] Date:_____________________
(Check appropriate box)
Name of Proposed development ________________________________________

Applicant: Plans Prepared by:
Name_____________________________ Name__________________________
Address___________________________ Address________________________
___________________________ ________________________
Telephone_________________________ Telephone______________________

Owner (if different) (if more than one owner,provide information
Name_____________________________ on each)
Address___________________________
___________________________
Telephone_________________________

Ownership intentions, i.e. purchase options____________________________________
________________________________________________________________________Location of Site__________________________________________________________
________________________________________________________________________Tax Map description______________________________________________________
Section_______________________ Block_______________ Lot___________________
Current zoning classification_______________________________________________

State and Federal Permits needed (list type and appropriate department______________
________________________________________________________________________
________________________________________________________________________

Proposed Use(s) of site____________________________________________________
________________________________________________________________________

Total site area (square feet or acres)_________________________________________

Anticipated construction time______________________________________________

Will development be staged?_______________________________________________

Current land use of site (agriculture, commercial, undeveloped, etc.)_______________ ________________________________________________________________________

Current conditions of site (buildings, brush, etc.)_______________________________
________________________________________________________________________

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Character of surrounding lands (suburban, agriculture, wetlands, etc.)______________
________________________________________________________________________

Estimated cost of proposed improvement $___________________________________

Anticipated increase in number of residents, shoppers, employees, etc. (as applicable)
________________________________________________________________________
________________________________________________________________________

Describe proposed use, including primary and secondary uses; ground floor area; height; and number of stories for each building:
(Use separate sheet if needed)
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