HomeMy WebLinkAboutDevelopment Review Application, March 9, 2018Development Review Application
Building Permit Number:
Project Title: Ol t-vl v r S Abd v "S"Uvt
Project Address:
Tax Parcel ID:
Type of Application: IMinor Subdivision
Type of Development: I
Stage of Review: Sketch _ Preliminary Final Additional meeting
Estimated site improvement / project cost:
(Exclude cost of land acquisition & professional fees)
Total number of lots proposed (existing + new)o'o
Are new roads or public utilities proposed?
Applicant / Agent
Name: S h ,CJJS j'z Title:
Address: --I r-ct _j
Phone: 6y0 'Qs* Email: SUS 62- '',Srn Ci i, z, c o r"
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
fling 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
application, to enter the property specified above to inspect in connection with the review of this application.
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O ner's,s�ig�nQa�t re date Applicant/Agent signs re date
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