HomeMy WebLinkAboutDevelopment Review Application, October 1, 2017.. . ..... ' ••• ........_ ..• -..J.
Development Review Application
Building Permit Number: __________ _
Project Title: _....:._1"_,_,._,1'\_,_..,o.._(_,:e..~-=--"'*'....:..1,_A_r'_.;_ • ....:..· ~-··_°'1__._ ___ _
Project Address: --------1:::0.,....,.a'""l4_4"¥',,_2~¥---
Tax Parcel ID: ---"'~_o_-_J __ -·__.l<-...&...::,12..__ ____ _
Type of Application:
"'Type of Development:
Stage of Review: Sketch _ Preliminary .x._ Final X AddiUonal meeting __ .•.
Estimated site improvement I project cost: ______ _
(Eiclude cost of land acquisition & r:>rofessional fees)
Total number of lots proposed (existing+ new): 2.
: ,. ----
Are new roads or public utilities proposed? Y"I o
Applicant/ Ag~t
· Name: {t'!:j< · ~ ~1' ''
Address: /t.fa =,u/4 J,!°,r: /!~
,Phone: J)._ 7 -6 S' £?
Title: _________ _
Email: _________ _
Consultant
Name: _____________ Title:----------~
.Address: _______________________ _
Phone: _____________ Email: __________ ;
i 1~ Owner / Lessee / Engineer / Attorney / Other (circle one)
·Name: _____________ Title: _________ _
/'. r
Address:-------------------------,,
,
Phone: _____________ Email:--------·-_,.,.. __ ,,
ALL APPLICATIONS:
The information on this applicat ion form is submitted in addition to other information , plats, and plans required by the
·T own 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 grantecncr rnembers of the various Town Boards , Committees , Planning and Code
Enforcement staff, and/or any other persons designated by the Town that may be involved in the review of this
application, enter tlJ.e property specified above to inspect in connection with the review of this application .
Applicant/ Agent signature date
2