HomeMy WebLinkAboutPB packet SPP-2020-01 321 Troy RdDevelopment Review Application
Building Permit Number:
Project Title: 641e�- P01z— /Jcf.l
Project Address:
Tax Parcel ID:
Type of Application: (Special Use Permit
Type of Development: (non-residential I
Stage of Review: Sketch _ Preliminary Final Additional meeting
Estimated site improvement / project cost: T L), -J J
(Exclude cost of land acquisition & professional fees)
Total number of lots proposed (existing + new): I
Are new roads or public utilities proposed? no
Applicant / Agent
Name:
Address: 3l /
Phone: 1,1.0,7-
Consultant
Name:
Address:
Title:
Email:
Title:
Phone: Email:
Owner Lessee / Engineer / Attorney / Other (circle one)
ame: leci��, /��iGc� Title
Address: 3Z T/-7
Phone: 4-10 i Z07
ALL APPLICATIONS:
Email:
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
ap i ation, to ent9j the property specified a ove to inspect in conne,4Lon with the review of this application.
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Owner's g ature date �Ap icant/Agent signature date
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