HomeMy WebLinkAboutMinor Subdivision – Development Review Application, January 17, 2018Development Review Application
Building Permit Number:
Project Title:
Project Address: l_21 (ZA.
Tax Parcel ID:
Type of Application: I Minor Subdivision '
Type of Development: I non-residential
Stage of Review: Sketch PreliminaryX— Final _ Additional meeting
Estimated site improvement / project cost: _,T,
(Exclude cost of land acquisition & professional fees)
Total number of lots proposed (existing + new): _?
Are new roads or public utilities proposed? no
Applicant / Agent
Name: Petrichla,-Bartholf Title: _artnpr-;hip
Address: 129 Hornbrook Road Danbv, New York
Phone- 607-2728061 Email:
Consultant
Name: Title:
Address:
Phone: Email:
Owner / Lessee / Engineer / Attorney / Other (circle one)
Name: Title:
Address:
Phone: Email:
ALL APPLICATIONS:
The information on this application form is submitted in addition to other information, plats, and plans required by the
Town of Danby. I attest that all information so submitted is complete and accurate to the best of my knowledge. Also, by
filing this application, permission is granted to members of the various Town Boards, Committees, Planning and Code
Enforce eftTst , and/or any other persons designated by the Town that may be involved in the review of this
app ' ation, t enter the property specified above to inspect in connection with thereviewof this application.
O n 's signature date Applicant/Agent signature date
E