HomeMy WebLinkAboutDevelopment Review Application – September 9, 2018Development Review Application
Building Permit Number: __________ _
Project Title: Major Subdivision
Project Address: _C_o_m_fo_rt_R_d _______ _
Tax Parcel ID: 9.-1-13.22 ----------------
Type of Application:
Type of Development: residential
Stage of Review: Sketc _ re 1m1nary -X-Final -X-Additional meeting __
Estimated site improvement/ project cost: ...... $ ______ _
(Exclude cost of land acquisition & professional fees)
Total number of lots proposed (existing+ new): _3~--
Are new roads or public utilities proposed? ~
Applicant / Agent
Name: Da, v ,,J i".\&.5~r-olod_ ·
Address: '7 q ~ C&,: +vr+ kl
Phone: C:,07 -SCf Z.-(oo ro
Consultant
Title: 0 u 1.1 eqr
Name: _____________ Title: _________ _
Address: _______________________ _
Phone : _____________ Email: _________ _
Owner/ Lessee I 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
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 the property sp ecified above to inspect in connection with the review of this application.
(Jew,;;( flt~ q-'t-<P ()a<~~ Cf-'i -LJ?
Owner's signature date ApplicanVAgent signature date
2