HomeMy WebLinkAboutNB5 - County Referral Application - ReaganGENERAL MUNICIPAL LAW
Zoning Referral Form
Conditional Permits. Special Permits, Site Plan Reviews & Variances
Director
CORTLAND COUNTY PLANNING DEPARTMENT
37 Church St.
Cortland, NY 13045-2838
Telephone: (607) 753-5043
Fax: (607) 753-5150
Submitting Officer: Bruce Weber, Planning & Zoning Officer
Municipality: Town of Cordandville
GMLNo. ___ ___
(Tax Map Number)
Date:
.. Mailing Address: 3577 Terrace Road, Cortland, NY 13045
Phone Number:. (607) 756-7052 Fax Number: (607) 758-7922
Twe of Referral
The applicant request the following:
Variance: Bulk — Article Section
Use — Article Section
Special Permit: Article Section
Conditional Permit: Article Section
Site Plan Review: Article Section
Reason(s) for request:
Is the above action a Type 'I , Type 2, , or unlisted action under the State
Environmental Quality Review Act? Attach required environmental assessment forms for Type I and
unlisted actions.
The following information is required for vour agnlication to be complete:
1. Name of petitioner:
Owners name (if different):
Date of acquisition. -
File Name: pinlwpdata/forms/Zoning Referral Form.05103105
[Conditional Permits,Special Permits.Site Plan Reviews .Variances]
r_rr rrM
State:
Phone Number:
2. A Site Plan Map showing:
zip:
Fax Number:
a. Scale (1 inch equals 20 feet if site is less than 1 acre or an agreed upon scale for a site
larger than 1 acre)
b. North Arrow
c. Physical Characteristics of Site, existing and proposed (Topography, Water and Vegetation)
d. Layout Plan Showing buildings, parking and available utilities
e. Surface and Subsurface Drainage Plan, incorporated with Layout Plan
f. Location of County or State facility pursuant to Section 239 I, m and n of the
General Municipal Law
g. Location Map at 1 "=1000' scale
h. Area Map at 1 "=200' or an agreed upon scale
(1) zoning classification of subject and adjoining properties
(2) surrounding land use within 500 feet of subject property
(3) surrounding zoning classifications
3. A certified Tax Map from the Cortland County Office of Real Property and Assessment showing the
property lines of the applicant's property.
4. Availability of public utilities and services:
Water
Fire Protection
District
Special services required:
District
; Sewer
5. Does Site Plan conform to municipal master plan?
6. Does Site Plan conform to county land use plan?
7. School District:
8. Projected energy consumption:
District ;
Refuse Collection
If not why?
If not why?
Type:
9. Traffic generation (expected vehicle departures and arrivals per 24 hour period) :
NOTE: All maps require the name and address of the N.Y.S. licensed engineer or land surveyor
responsible for preparing the seal and map.
Signature and Title of Submitting Official
(REVISED: 8101)
File Name: pin/wpdata/forms/Zoning Referral Form.05103/05
[Conditional Permits.Special Permits.Site Plan Reviews.Variances]