APPLICATION FOR TYPE III DSI SITE PLAN REVIEW
Development Services Department ♦ 389 Spruce Street, Morgantown, WV 26505 Page 1 of 11
www.morgantownwv.gov ♦ 304.284.7431 Form Rev. 20180701
OFFICE USE
CASE NO.
A Development of Significant (DSI) Impact is any proposed development whose characteristics warrant
a more in-depth review by the Morgantown Planning Commission in order to mitigate the negative impact
these characteristics may have on surrounding land uses in particular and on the surrounding
neighborhood in general. Developments of Significant Impact (DSI) are those that have a Citywide or
regional impact. Such impact could involve the transportation network, environmental features such as
parks or stream corridor, local schools, etc. Such developments could include large-scale residential,
commercial, or mixed-use developments, employment centers, regional shopping centers, industrial
and/or manufacturing, and extractive industry. Any proposed residential or non-residential development
that meets or exceeds any of the following criteria shall be determined to be a Development of Significant
Impact (DSI) and will require a complete development plan to be submitted and reviewed by Planning
Division staff and the Planning Commission.
Check below the following
Fee: $500.00 [Z-SIII]
applicable Land Use Category
Land Use Category
Development of Significant Impact (DSI) Thresholds
Development in the B-4 District
All Land Use Categories
New construction of a principal structure, regardless of land use
category or net acreage of the site.
Residential
A development that is 12 or more dwelling units.
Non-Residential
A development that is either 10,000 square feet or more of gross floor
area or a site of one-half (1/2) acre or more of net acreage.
Mixed-Use
A development that exceeds any of the following: 10,000 square feet
or more of gross floor area of non-residential use(s); or, 12 or more
dwelling units; or, one-half (1/2) acre or more of net acreage.
Industrial
All industrial development, regardless of gross floor area or net
acreage of the site.
Development in all other Zoning Districts
Residential
A development that is 12 or more dwelling units.
Non-Residential
A development that is either 15,000 square feet or more
of gross floor area or a site of 2 acres or more of net
acreage.
Mixed-Use
A development that exceeds any of the following: 15,000
square feet or more of gross floor area of non-residential
use(s); or, 12 or more dwelling units; or, 2 acres or more
of net acreage.
Industrial
All industrial development, regardless of gross floor area
or net acreage of the site.
Finance Rcv’d
APPLICATION FOR TYPE III DSI SITE PLAN REVIEW
Development Services Department ♦ 389 Spruce Street, Morgantown, WV 26505 Page 2 of 11
www.morgantownwv.gov ♦ 304.284.7431 Form Rev. 20180701
OFFICE USE
CASE NO.
(PLEASE TYPE OR PRINT IN INK)
I. APPLICANT
Applicant Name:
Phone:
Mailing
Address:
Mobile:
Email:
Is the Applicant the Owner of the real estate that composes the development site? Yes No
If no, provide the following information for the Owner of the real estate that composes the development site.
Owner Name:
Phone:
Mailing
Address:
Mobile:
Email:
II. AGENT / CONTACT INFORMATION
Name:
Phone:
Mailing
Address:
Mobile:
Email:
Send all correspondence to (check one): Applicant OR Agent/Contact
III. DEVELOPMENT SITE
Street Address (if assigned):
Zoning:
Tax Map(s) #:
Parcel(s) #:
Development Site Area:
square feet
acres
Proposed Use of
Structure of Land:
Residential Only Mixed-Use (residential and nonresidential)
Non-Residential Only Industrial
Street
City
Zip
State
Street
City
State
Zip
Street
Zip
City
State
APPLICATION FOR TYPE III DSI SITE PLAN REVIEW
Development Services Department ♦ 389 Spruce Street, Morgantown, WV 26505 Page 3 of 11
www.morgantownwv.gov ♦ 304.284.7431 Form Rev. 20180701
OFFICE USE
CASE NO.
IV. STRUCTURE
RESIDENTIAL USES
Total No. of Structures:
Total No. of Dwelling Units:
Total No. of Occupants:
NON-RESIDENTIAL USES
Total No. of Structures:
Total No. of Tenant Spaces:
Total Gross Floor Area (GFA):
Total No. of Employees:
INDUSTRIAL USES
Total No. of Structures:
Total No. of Tenant Spaces:
Total Gross Floor Area (GFA):
Total No. of Employees:
Proposed Height of Structure(s):
Feet
No. of Stories:
Total No. of On-Site Parking Spaces:
Standard:
Compact:
Accessible:
V. SITE PLAN REQUIREMENTS
All applications for Type III Development of Significant Impact Site Plan Review must be accompanied
by complete and accurate site plan drawings/exhibits that meet the requirements set forth in the
Planning and Zoning Code. Addendum A of this application provides a checklist for these
requirements. Failure to submit all required site plan drawings/exhibits will result in an incomplete
application determination and likely delay in the scheduling of a hearing with the Planning Commission.
VI. ATTEST
I hereby certify that I am the owner of record of the named property, or that this application is authorized by the
owner of record and that I have been authorized by the owner to make this application as his/her authorized agent.
I agree to conform to all applicable laws of this jurisdiction and certify that the property owners, if applicable, will
conform to all such laws and that I have the authority to bind the owner to this commitment. I certify that the
information submitted herein and attached hereto is true and accurate and understand that if found otherwise may
result in the denial of this request or subsequent revocation of any and all related approvals. The undersigned has
the power to authorize and does hereby authorize City of Morgantown representatives on official business to enter
the subject property as necessary to process the application and enforce related approvals and conditions.
Type/Print Name of Applicant/Agent
Signature of Applicant/Agent
Date
Applicants will be advised of the Technical Review Team meeting date/time if not already held.
APPLICATION FOR TYPE III DSI SITE PLAN REVIEW
Development Services Department ♦ 389 Spruce Street, Morgantown, WV 26505 Page 4 of 11
www.morgantownwv.gov ♦ 304.284.7431 Form Rev. 20180701
OFFICE USE
CASE NO.
ADDENDUM A
SITE PLAN SUBMISSION REQUIREMENTS AND CHECKLIST
All applications for a Development of Significant Impact (DSI) shall be accompanied by site and
development plan drawings submitted under the seal and signature of a registered design professional
licensed by the State of West Virginia and as authorized by West Virginia State law.
All sheets shall be 24" x 36" size drawn to scale at a minimum 1"=50' and a maximum 1"=10' with the
exception of the maps on Sheet One, unless otherwise approved by the City Engineer.
Three (3) full-scale sets of the site plan drawings shall be submitted for review, along with one (1) exact
digital file in the most current version of Adobe Acrobat Portable Document Format (PDF). All drawings
and sheets shall observe the following format. Failure to follow the format and/or provide required
information will result in an incomplete application determination and likely delay in scheduling a hearing
with the Planning Commission.
SHEET ONE Title Sheet.
Full legal description with sufficient reference to section corners and boundary map of the subject
project, including appropriate benchmark references.
Name of the project.
Name and address of the owner, developer, and person who prepared the plans.
Total acreage within the project and the number of residential dwelling units and/or the gross
square footage of non-residential buildings whichever is applicable.
Existing zoning of the subject land and all adjacent lands.
Boundary lines of adjacent tracts of land, showing owners of record.
A key or vicinity map at a scale of one inch equals four hundred feet or less, showing the
boundaries of the proposed project and covering the general area within which it is to be located.
A statement of the proposed uses, stating the type and size of residential and non-residential
buildings, and the type of business, commercial or industry, so as to reveal the effect of the project
on traffic, fire hazards, or congestion of population.
Any existing or proposed covenants and restrictions affecting property owners and/or
homeowners associations.
Statement of proposed starting and completion dates for the project, including any proposed
phasing and sequencing.
__________________
Applicant Initials
APPLICATION FOR TYPE III DSI SITE PLAN REVIEW
Development Services Department ♦ 389 Spruce Street, Morgantown, WV 26505 Page 5 of 11
www.morgantownwv.gov ♦ 304.284.7431 Form Rev. 20180701
OFFICE USE
CASE NO.
SHEET(S) TWO Existing Site Conditions.
Location, widths, and type of construction of all existing streets, street names, alleys, or other
public ways and easements, street classifications as per the approved regional transportation
plan, railroad and utility rights-of-way or easements, parks, wooded areas, cemeteries,
watercourses, drainage ditches, designated wetlands, low areas subject to flooding, permanent
buildings, bridges, and other data considered pertinent by the Planning Commission or the
Planning Director for the subject land, and within three hundred (300) feet of the proposed project
or six hundred twenty-five (625) feet for extractive industry development.
Existing water mains, fire hydrants, storm sewers, sanitary sewers, culverts, bridges, and other
utility structures or facilities within, adjacent to, or serving the subject land, including pipe sizes,
grades, and exact locations, as can best be obtained from public or private records.
Existing contours based in U.S.G.S. datum with intervals of not more than two (2) feet. Elevations
shall be based on sea level datum.
The water elevation at the date of the survey of rivers, lakes, streams, or designated wetlands
within the project or affecting it, as well as the approximate high and low water elevation of such
rivers, lakes, streams, or designated wetlands. The plan shall also show the boundary line of the
regulatory 100-year flood. The plan shall also show the base flood elevation of the regulatory 100-
year flood at any building location along with the elevation of the lowest finished floor. All
elevations shall be based on sea level datum.
SHEET(S) THREE Proposed Site Conditions.
Location, widths, and type of construction of all existing and proposed streets, street names,
alleys, or other public ways and easements, railroad and utility rights-of-way or easements, parks,
wooded areas, cemeteries, watercourses, drainage ditches, designated wetlands, low areas
subject to flooding, permanent buildings, bridges, and other data considered pertinent by the
Planning Commission or the Planning Director for the subject land, and within three hundred (300)
feet of the proposed project or six hundred twenty-five (625) feet for extractive industry
development.
Existing and proposed water mains, fire hydrants, storm sewers, sanitary sewers, culverts,
bridges, and other utility structures or facilities within, adjacent to, or serving the subject land,
including pipe sizes, grades, and exact locations, as can best be obtained from public or private
records.
Water Supply Plan. For development that involves the use of water at higher volumes than
customarily associated with nonindustrial-type development, the City may require, in coordination
with the Morgantown Utility Board, a water supply plan. A water supply plan must include at least
the identification of the water source(s); the development and use of freshwater impoundments,
if applicable; when and where water withdrawals will occur; necessary
operational water volumes; potential competing water users; and,
cumulative impact of the development's water consumption to the
public water system, watersheds and/or groundwater.
__________________
Applicant Initials
APPLICATION FOR TYPE III DSI SITE PLAN REVIEW
Development Services Department ♦ 389 Spruce Street, Morgantown, WV 26505 Page 6 of 11
www.morgantownwv.gov ♦ 304.284.7431 Form Rev. 20180701
OFFICE USE
CASE NO.
Building setback lines, showing dimensions.
Internal and perimeter sidewalk system/pedestrian circulation plan.
Proposed contours with intervals of not more than two (2) feet. The plan shall also show the
contour line for the floodway fringe boundary. Grading plans and drainage plans and calculations
are not required for Planning Commission site plan review, but shall be required prior to issuance
of any building permits. Such plans shall be prepared by a registered design professional licensed
by the State of West Virginia, and as authorized by West Virginia State law; and shall also meet
the City’s stormwater management ordinance and all applicable local, state and federal
regulations.
Location and detail plans for all trash dumpsters.
Location and detail plans for utility and mechanical equipment placed on the ground (e.g. pad-
mounted transformers, HVAC units, etc.).
The number of employees, families, housekeeping units, bedrooms, or rental units the structure(s)
is designed to accommodate.
If applicable, the clear zone for structures similar to silos, grain bins, windmills, chimneys, stacks,
spires, flag pole, skylights, derricks, conveyors, cooling towers, observation towers, water tanks,
telecommunication facilities, etc. in excess of fifty (50) feet in height.
SHEET(S) FOUR Preliminary Landscape Plan and Preliminary Site Lighting Plan. A
preliminary landscape plan prepared to the standards specified in the City’s zoning ordinance. A
preliminary site lighting plan that includes exterior light fixture details and photometric plans in
footcandles.
SHEET FIVE Plat-like dedication sheet, if necessary.
Parcels of land proposed to be dedicated or reserved for public use, or reserved for common use
of all property owners within the project, with the proposed conditions and maintenance
requirements, if any, shall be designated as such and clearly labeled on the plans;
Radii, internal angles, points of curvature; tangent bearings and lengths of all arcs, chord, and
chord bearings; and
Accurate location of all survey monuments erected, corners and other points established in the
field in their proper places.
SHEET(S) SIX Floor Plans. Floors plans must illustrate and identify internal and external
dimensions, uses, gross floor areas, and include a summary table of residential unit types and/or
nonresidential use gross floor areas and any additional information
deemed necessary for proper review of the development plan by the
Planning Director, City Engineer, or Planning Commission.
__________________
Applicant Initials
APPLICATION FOR TYPE III DSI SITE PLAN REVIEW
Development Services Department ♦ 389 Spruce Street, Morgantown, WV 26505 Page 7 of 11
www.morgantownwv.gov ♦ 304.284.7431 Form Rev. 20180701
OFFICE USE
CASE NO.
SHEET(S) SEVEN Building Elevations. Elevations of all facades illustrating height of building;
top of adjoining finish grade elevation; exterior building components (roof, walls, foundation, etc.);
exterior finishes and materials; roof slope or pitch; window types; exterior stairs, landings, guardrails,
and handrails; and, any additional information deemed necessary for proper review of the
development plan by the Planning Director, City Engineer, or Planning Commission.
SHEET(S) EIGHT Parking Layout Plan. Parking layout plan must identify ingress and egress
driveway entrance(s) and distances of same from neighboring property boundaries, existing driveway
entrances, and intersections; layout of internal roadway; parking stall types, and dimension details
for parking stalls and drive aisles; pedestrian circulation plan (if required); and, any additional
information deemed necessary for proper review of the development plan by the Planning Director,
City Engineer, or Planning Commission.
ALL SHEETS shall contain the following information:
All dimensions shown on plans relating to the size of the lot and the location of the structure(s)
thereon be based on an actual survey by a registered land surveyor or registered design
professional licensed by the State of West Virginia and as authorized by West Virginia State law,
said survey to be provided by the applicant.
The proposed name by which the project shall be legally and commonly known.
Date of survey, scale, and north point.
All lots or outlots intended for sale or lease shall be designated with boundary lines and numbered
or labeled for identification purposes.
Private parks, common areas, or excluded parcels shall be designated as such and clearly labeled
on the plans.
All necessary reference points tying the subject property to the appropriate section corners.
Each sheet shall be sealed and signed by the professional preparing the drawings.
All sheets shall be tied to state plane coordinates for horizontal and vertical controls.
Such other information as may be deemed necessary for proper review of the site plan by the
Planning Director, City Engineer, or Planning Commission to determine conformance with and
provide for the enforcement of these zoning regulations.
__________________
Applicant Initials
APPLICATION FOR TYPE III DSI SITE PLAN REVIEW
Development Services Department ♦ 389 Spruce Street, Morgantown, WV 26505 Page 8 of 11
www.morgantownwv.gov ♦ 304.284.7431 Form Rev. 20180701
OFFICE USE
CASE NO.
TRAFFIC AND ROADWAY IMPACT. For development which, in the opinion of the City Engineer,
may create excessive negative impacts on traffic and/or dedicated City roadways, rights-of-way, or
improvements in the immediate vicinity that serve the use, the City may require an analysis of the
proposed development's impact on current or future traffic flows and/or dedicated City roadways,
rights-of-way, or improvements, at the developer's expense, prepared by a qualified professional
engineer. The Planning Commission may also table consideration of a development and refer such
development to the City Engineer to ask his or her opinion as to whether a traffic impact study,
transportation route plan, and/or transportation route protection agreement may be warranted.
Traffic Impact Study. If the traffic impact study indicates that the projected traffic impact of the
use would result in a two (2) full letter grade decline in the existing Level of Service (e.g., going
from a Level of Service B to a Level of Service D) of any dedicated City street directly serving the
use, such finding may be considered sufficient grounds for denial of the project, or a requirement
that sufficient improvements be made to said streets, at the developer's expense, or that the
project be reduced in size and scope to the point where no such negative impact on the Level of
Service results. Level of Service refers to the traffic grading system described in the latest edition
of the Highway Capacity Manual, published by the Transportation Research Board.
Approved WV Division of Highways Permit and/or Agreement, if applicable, is not required for
Planning Commission site plan review, but shall be required prior to issuance of a building permit.
In the event a traffic analysis or traffic impact study is required and the review of same involves
WV Division of Highways, written/electronic correspondence from the WV Division of Highways
documenting its approval of the traffic analysis or traffic impact study must be presented to the
Planning Commission by the applicant prior to DSI site plan approval.
Transportation Route Plan. A transportation route plan shall include a map of routes and roads
for equipment, supplies, chemicals or waste products used or produced by the development. The
plan shall include a list of the length of all public roads that will be used for site ingress and egress
to Morgantown corporate limits. The map shall also show the location of any areas within the City
along the transportation route proposed for truck staging or storage related to the development's
operations. The City may restrict the hours of operation of vehicles when the proposed
transportation route passes through a designated school zone, heavily used roadways or
intersections, or along local residential streets. In the event of construction detours, roadway
closure or roadway deterioration along an approved transportation route, the City Engineer may
amend the approved transportation route plan.
Transportation Route Protection Agreement. For development which, in the opinion of the City
Engineer may damage or create excessive deterioration to dedicated City roadways, rights-of-
way, or improvements, the City may require a transportation route protection agreement. The
agreement shall stipulate that the City roadways, rights-of-way, and improvements shall be
maintained equal to or better than the original condition; stipulate any required major
improvements and restrictions; stipulate the manner in which dirt, dust, mud and debris is to be
controlled from leaving the development site; and, required bond. Additional information will be
provided to applicants concerning the required provisions and
minimum terms should the City Engineer determine that a
Transportation Route Protection Agreement will be required.
__________________
Applicant Initials
APPLICATION FOR TYPE III DSI SITE PLAN REVIEW
Development Services Department ♦ 389 Spruce Street, Morgantown, WV 26505 Page 9 of 11
www.morgantownwv.gov ♦ 304.284.7431 Form Rev. 20180701
OFFICE USE
CASE NO.
EMERGENCY RESPONSE AND HAZARDOUS MATERIALS PLANNING.
Emergency Action Response Plan. For development that involves the use and/or storage of large
volumes of highly flammable, toxic matter, or explosive materials, the City may require an
Emergency Action Response Plan. Additional information will be provided to applicants
concerning required plan elements should the City determine that an Emergency Action
Response Plan is required.
Hazardous Materials Management Plan. For development that involves the use, storage, or
generation of hazardous materials and wastes, the City may require a Hazardous Materials
Management Plan. Additional information will be provided to applicants concerning required plan
elements should the City determine that a Hazardous Materials Management Plan is required.
OTHER REQUIRED SUBMITTALS. The applicant shall submit written documentation of the
following:
All applications for a DSI Site Plan shall be accompanied by a list of the property owners’ names
and addresses located within 200 feet of any property line of the development site, including the
owner(s) of the subject development site, as of record in the office of the Monongalia County
Assessor. The applicant must also submit the tax map and parcel numbers for the list of
properties and a stamped and addressed envelope for each of the names and addresses of the
property owners within 200 feet of the site. A return address shall not be affixed to the envelopes.
Utility encroachment approvals, when applicable and/or required.
Other local, state, and federal approvals, including other City boards, commissions, or
departments, when applicable and/or required.
Inspection and testing agreements with the Engineering Department, when applicable and/or
required.
Outside reviews as required by the City, when applicable and/or required.
Easements and rights-of-ways not on a plat-like document shall be submitted in the form
prescribed by the Engineering Department and include both a full legal description and a drawing
exhibit, when applicable and/or required.
Erosion and Sediment Control Plan. Prior to the issuance of any permit authorizing any work
relating to grading, grubbing, stripping, etc. as defined and regulated by City Code Article 1741
“Grading Requirements” and/or City Code Article 929 “Stormwater Management and Surface
Water Discharge Control,” an Erosion and Sediment (E&S) Control Plan must be submitted,
reviewed, and approved by the City Engineer and the Morgantown Utility Board (MUB). All control
plan documents and design details and all measures for soil erosion and sediment control and
sequencing of installation must meet or exceed current methods and standards adopted by the
City of Morgantown, the Morgantown Utility Board (MUB), and the West Virginia Department of
Natural Resources (WVDNR). The City Engineer and/or the
Morgantown Utility Board (MUB) has the right to require additional
erosion control measures in the field as conditions warrant.
__________________
Applicant Initials
APPLICATION FOR TYPE III DSI SITE PLAN REVIEW
Development Services Department ♦ 389 Spruce Street, Morgantown, WV 26505 Page 10 of 11
www.morgantownwv.gov ♦ 304.284.7431 Form Rev. 20180701
OFFICE USE
CASE NO.
REJECTION OF PLANS. No site plan shall be accepted unless it is complete and is verified as to
the correctness of information given by the signature of the applicant attesting thereto. The Planning
Division may reject any submittal for the following reasons:
Incomplete application.
The drawing set or supporting documents are not complete.
Poor legibility.
NEIGHBOR NOTIFICATION. Using the list of the property owners’ names and addresses and
stamped and addressed envelopes, the Planning Division shall send written notification to property
owners within 200 feet of any property line of the development of the time, date and location of the
Planning Commission meeting at which the project will be considered.
PLANNING COMMISSION APPROVAL OF DSI SITE PLAN. Site plans approved by the Planning
Commission authorize only the use, arrangement, and construction set forth in such approved site
plans and no other use, arrangement or construction. Furthermore, the approval of a site plan shall
not be construed to be approval of any violation of the provisions of the Planning and Zoning Code.
The issuance of a building permit based upon site plans given approval by the Planning Commission
shall not prevent the Planning Division from thereafter requiring the correction of errors in said site
plans or from preventing operations from being carried on thereunder when in violation of the Planning
and Zoning Code. Site plan approval does not eliminate the need to obtain an approved building
permit and the applicant's responsibility to meet all other requirements established by local, state and
federal regulations.
RESUBMITTAL OF PLANS. Should the Planning Commission grant approval of a DSI site plan, the
applicant shall submit three (3) complete full-scale sets of the final, revised plans showing conditions
required by the Planning Commission and Board of Zoning Appeals, should the site plan require
variance and/or conditional use approval and conditions were included therein. One (1) copy of the
site plan submitted for building permits shall be returned to the applicant after the Planning Division
has marked such copy as either approved or disapproved as to the provisions of the Planning and
Zoning Code and any conditions included in such approval by the Planning Commission and, if
applicable, the Board of Zoning Appeals, and attested to same by his/her signature on such copy.
The original, similarly marked shall be retained by the Planning Division.
DEVIATION FROM THE APPROVED SITE PLAN AND ADDITIONS TO EXISTING STRUCTURES.
If the installation of the elements on the site plan materially deviate from the approved site plan
(as determined by the Planning Director or City Engineer), the site plan shall be resubmitted to
the Commission or Board for a new site plan approval in accordance with the procedures and
requirements for site plan approval. For purposes of this section, material deviation is one that:
__________________
Applicant Initials
APPLICATION FOR TYPE III DSI SITE PLAN REVIEW
Development Services Department ♦ 389 Spruce Street, Morgantown, WV 26505 Page 11 of 11
www.morgantownwv.gov ♦ 304.284.7431 Form Rev. 20180701
OFFICE USE
CASE NO.
Adds, removes, or reconfigures an internal street or relocates an access point.
Affects a condition of site plan approval that was established by the Commission or Board
during the site plan approval stage.
Reduces the area devoted to open spaces or buffer landscaping.
Involves the enlargement of a nonresidential building footprint on the site due to future
additions that are more than ten percent (10%) of the gross floor area or 5,000 square feet,
whichever is less.
Minor changes that do not constitute material deviation shall be reviewed and approved by the
City Planning and Engineering staff.
ELECTRONIC SUBMITTAL OF FINAL PLANS AND OTHER DOCUMENTS. Final plans or other
documents required to be submitted under the Type III DSI Site Plan review that will be archived must
be submitted in the most current version of Adobe Acrobat Portable Document Format (PDF) and/or
AutoCAD. Electronic submittal of said plans and other documents shall be a condition to issuance of
any type of permit, approval, or other action related to the final plans or documents. The Planning
Division shall provide a schedule indicating which documents must be provided electronically, at
which point during the approval process, and other information as necessary for archiving purposes.
EXPIRATION DEADLINES.
Approval of site plans shall expire two (2) years from the date of approval if the project has not
been completed. The Planning Commission or the Board of Zoning Appeals, at its discretion,
may grant extensions for a period up to two (2) years.
Bonded improvements must be completed within two (2) years of issuance of land alteration
permit.
Request for extension must be submitted in writing stating the justification for the extension.
I hereby certify that I have read ADDENDUM A SITE PLAN SUBMISSION REQUIREMENTS AND CHECKLIST
and understand that all applications for Type III Development of Significant Impact (DSI) Site Plan Review must be
accompanied by the complete and accurate site plan drawings/exhibits set forth herein. I further understand that
failure to submit all required site plan drawings/exhibits will result in an incomplete application determination and
likely delay in the scheduling of a hearing with the Planning Commission.
Type/Print Name of Applicant/Agent
Signature of Applicant/Agent
Date