Fillable CITY OF DANBURY PETITION TO AMEND THE INLAND (City of Danbury)

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CITY OF DANBURY PETITION TO AMEND THE INLAND (City of Danbury)

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The CITY OF DANBURY PETITION TO AMEND THE INLAND (City of Danbury) form is 2 pages long and contains:

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BROWSE CITY OF DANBURY (CT) FORMS

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Rev February 4, 2011
CITY OF DANBURY
155 DEER HILL AVENUE
DANBURY, CONNECTICUT 06810
ENVIRONMENTAL IMPACT COMMISSION
(203) 797-4525
PETITION TO AMEND THE
INLAND WETLANDS & WATERCOURSES MAPS
FOR COMMISSION USE ONLY:
REDESIGNATION
APPROVED:
DENIED:
***NOTICE***
Please refer to the Inland Wetlands and Watercourses Regulations of the City of Danbury (the
“Regulations”) for all requirements for submission of applications.
APPLICANT:
Name:
Address:
City: State: Zip:
Telephone:
PROPERTY OWNER (If applicant is not owner):
Name:
Address:
City: State: Zip:
Telephone:
AGENT OR CONSULTANT (if applicable):
Name: Title:
Address:
Reset Form
Rev February 4, 2011
City: State: Zip:
Telephone:
PROPERTY LOCATION AND DESCRIPTION:
Property Address: Assessor's Lot No.:
Descriptive location:
Property is located on the (north) (south) (east) (west) side of the above street, and distant approximately
feet (north) (south) (east) (west) from (nearest intersection).
State briefly why this petition should be granted:
Submit the following:
Filing fee of $210.00 (includes $60.00 State Land Use Fee as required per C.G.S.). Checks to be
payable to the City of Danbury. Applicant is also responsible for Commission’s soil scientist or other
technical consultant’s fee.
Fourteen copies of the Petition.
Fourteen copies of a map for the property, including two-foot topographical contours; direction of
stream flow, if any; wetland or watercourse boundary line as shown on the City of Danbury Inland
Wetlands and Watercourses Map; proposed new boundary; location of test holes, and soil types.
Fourteen copies of soil test hole data, including field notes.
A list of names and addresses of all owners of property abutting or across the street from the subject
property.
APPLICANT’S OR AGENT’S SIGNATURE:
DATE OF APPLICATION:
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CITY OF DANBURY PETITION TO AMEND THE INLAND (City of Danbury)

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Completed 18 January 2021

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