HomeMy WebLinkAboutDevelopment Review Application, January 31, 2018Development Review Application
Building Permit Number:
Project Title: HENION FAMILY TRUST SUB -DIVISION
Project Address: 84 Layen Rd, Ithaca, NY
Tax Parcel ID: 8--1-1.3
Type of Application: (Major Subdivision I
Type of Development: (residential I
Stage of Review: Sketch Preliminary X Final X Additional meeting
Estimated site improvement / project cost:.
(Exclude cost of land acquisition & professional fees)
Total number of lots proposed (existing f new): 4
Are new roads or public utilities proposed? no
Applicant / Agent
Name: Henion Family Trust Title: Land Owner
Address: 84 Layen Road, Ithaca, NY 14850
Phone: 807-279-4578 Email: }ghenion@gmail_com
Consultant
Name: Title:
Address:
Phone: Email:
Owner / Lessee / Engineer / Attorney / Other (circle one)
Name: dames G. Henion Title: Trustee
Address: 84 Layen Road, Ithaca, NY 14850
Phone: 807-279-4578 Email: Jghenion@gmail.com
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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
Enforcement staff, and/or any other persons designated by the Town that may be involved in the review of this
appiicatio enter the pro y specified above to inspect in connection with the review of this application.
Ow er's sigfiature state Applicant/Agent signature date
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