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HomeMy WebLinkAboutDevelopment Review Application, December 29, 2017• v ----·--------·- Development Review Application Building Permit ~umber. Project Title: :{ioo,-L Com m,j 51rt?_/ Project Address: & 1 My uJ @ .J:tb t'l!ftr Al'! TaxParcellD: 2. -1-1. J ______ _ Type of Application : Special Permit Type of Development: Stage of Review : Sketc re ,mmary _ Final __ Additional meeting _ Estimated site improvement/ project cost: ¢crol) (Exclude cost of land acquisition & professional fees) Total number of lots proposed (existing+ new): __ L_ Are new roads or public utilitie~ proposed? ~ Applicant / Agent ~ Name: ''12212,~ JjoeJJt+b Address :. /l'l f,:f ldst-o1::t Ct/2. _ Phone(b;J) Q 79-657 3 Consultant Name: _____________ Title:-'--------- Address: _____________________ _ Phone: ____________ Email: ________ _ Owner I Lessee I Engineer/ Attorney/ Other (circle one) Name: Srfa7L ntJe: ______ _ 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 thafall 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 E re ment s and/or any other persons designated by the Town that may be Involved in the review of this .,applic tion,Jt> e e the property specified above to Inspect in connection with the review of this application. ApplicanVAgent signature date 2 . ' i '