HomeMy WebLinkAboutDevelopment Review Application, April 30, 2018Development Review Application
Building Permit Number: r -J I A
Project Title:
Project Address: Curtis rd Ithaca NY
Tax Parcel ID: 23 • — 1- 10. 2 -
Type
Type of Application: Minor Subdivision
Type of Development: Inon-residential I
Stage of Review: Sketch _ Preliminary Final xx— Additional meeting
Estimated site improvement / project cost: _$__xx
,,, .,
(Exclude cost of land acquisition & professional fees)
Total number of lots proposed (existing + new): 2
Are new roads or public utilities proposed? no
Applicant / Agent
Name: Mike Amodie Title:
Address: 3800 Eider Down Path Liverpool Ny 13090
Phone: 315-559-7382
Consultant
Name: none
Address:
Phone:
Email: michael.amodie@libertymutual.com
Title:
Email:
Owner / Lessee / Engineer / Attorney / Other (circle one)
Name: Debra Friends Title: current owner
Address: 3165 Van Dorn Corners Rd Ithaca NY 14850
Phone: 607-227-6398 Email: unknown
ALL APPLICATIONS:
The information on this application form is submitted in addition to other information, plats, and pians 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
application, to enter arty specified above to inspect in connection with the r view oft is ap0bation.
Owner's signature date Applicant/Agent signature date
2