ADMINISTRATIVE SUBDIVISION
APPLICATION
Please review the Richmond Zoning Regulaons and provide all the informaon requested in this appli-
caon. Addional local permits and approvals may also be require. For informaon contact the Zoning
Administrave Ocer at 434-2430. Other federal, state and local permits or approvals may addionally
be required, it is the duty of the applicant to obtain all relevant and applicable approvals. To inquire
about State permits contact the State Permit Specialist at 477-2241.
Permit #
Parcel ID: _____________
Applicaon Date: ______________ Physical Address Property: _______________________________________________________
Applicant Name:______________________________________
Applicant Mailing Address: _____________________________
____________________________________________________
____________________________________________________
Phone: ______________________________________________
Email: _______________________________________________
Property Owner Name: __________________________________
Property Owner Mailing Address: __________________________
_____________________________________________________
_____________________________________________________
Phone: _______________________________________________
Email: ________________________________________________
Size of original lot before subdivision (acres)__________Size of original lot aer subdivision:__________ Size of new lot:__________
As per secon 2.6, a Zoning Permit may be issued by the Administrave Ocer for the division of one lot (the “original lot”) which
exceeds 25 acres into two lots without DRB review under the Richmond Subdivision Regulaons as amended, provided neither lot
shall be further subdivided within seven years without DRB approval under the Town of Richmond Subdivision Regulaons. Each lot
created shall comply with all pernent state and local statutes, regulaons and ordinances relang to water supply, sewage disposal,
vehicular access, environmental impact and other provisions of the Zoning Regulaons and with the standards of the Richmond Sub-
division Regulaons.
□ Please include a clear and accurate plan of the lots showing all pernent informaon to demonstrate conformance with the Zoning
Regulaons and with the standards of the Richmond Subdivision Regulaons .The plan does not need to be a survey but must have
accurate eld measurements, except if the Administrave Ocer deems such survey necessary.
□ All state permits must be approved prior to submission of applicaon, please include a copy of all state permits.
□ Administrave Subdivision Applicaon Fee— $85.00
Signatures: The undersigned hereby ceres this informaon to be complete and true.
Applicant Signature date Property Owner Signature date
Applicaon created July 2017
TOWN CLERK’S OFFICE Received for Record: __ _______ A.D. At __o’clock _ _ minutes _ M
And Recorded in Book: page Aest:
—- DO NOT WRITE BELOW THIS LINE—OFFICE USE ONLY—DO NOT WRITE BELOW THIS LINE—OFFICE USE ONLY—DO NOT WRITE BELOW THIS LINE—OFFICE USE ONLY —-
Applicaon Complete Date: Decision: APPROVED / DENIED / WITHDRAWN Zoning Fee: ________________
Appeal Period End Date/ Permit Eecve Date: ___________________ Final Plat /Deed recorded date:________________________
Comments: ________
Zoning Administrave Ocer signature: Date:
NOTE: Once a decision is made, this permit will be eecve aer the end of the 15-day appeal period. The applicant or an interested party
has the right to appeal this permit decision within 15-days of issuance to the Richmond Development Review Board. Upon approval the ap-
plicant is responsible for posng the provided “Z” poster within view of a public right-of-way. The approval for an administrave subdivision
shall expire180 days from the permit eecve date, unless, within that 180 day period, the nal plat showing the original and remainder lot
are presented to the Zoning Administrave Ocer for recording with the Richmond Town Clerk. Aer the approved plat is recorded, no expi-
raon of the approval shall be applicable.
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