Fillable Common Application 2019 - English

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Common Application 2019 - English

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The Common Application 2019 - English form is 3 pages long and contains:

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  • 23 check-boxes
  • 79 other fields

Country of origin: US
File type: PDF

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EnerGov
App.
#:
City of Hartford
Department of Development Services
Planning Division
Return Form to the Planning Desk at
t
h
e
Licenses & Inspections Division Co
u
n
t
er
860-757-9239
260 Constitution
P
laza
Hartford, Connecticut
06103-1822
For Assistance Contact Planning
Divis
ion
860-75
7-9040
250 Constitution Plaza, 4
th
F
loor
Hartford, Connecticut
06103-1822
h
tt
p
:
//plannin
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PLANNING AND ZONING APPLICATION
PLEASE CHECK THE ACTION(S) YOU ARE APPLYING FOR:
Receiving Federal Funds:
□ Yes □ No
□ Demo □Add. □Repair
□ Zoning Appeal
□ Zoning Permit:
Signage/Use/Accessory
□ Site Plan
□ Approval of Location
□ Zoning Variance
□ Zoning Map Change
□ Subdivision/Lot Line Revision
□ Historic Review
□ Lot Combination
□ Liquor Permit
□ Special Permit
1. PROPERTY INFORMATION
State: CT Zip Code:
State: Zip Code:
Property Address: City:
Zoning District: (http://assessor1.hartford.gov/default.asp)
Property Owner:
Property Owner’s Address: City:
Phone: Email:
2. APPLICANT
Please check if “Applicant” is the same as “Property Owner”
Name of Applicant: File Date:
Address:
City: State Zip Code:
Phone: Email:
3. PRIMARY POINT O
F CONTACT:
Name:
Phone:
Email:
Parcel ID:
EnerGov
App.
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4. PROJECT NARRATIVE
Describe your application action(s) and provide as much detail as possible. Attach additional pages if necessary:
B. COMPLETE IF APPLYING FOR ZONING APPEAL:
Permit or Violation number:
** Please complete the following sections as they pertain to the actions you are applying for. **
Be sure to sign the application
in Section 5 on the last page.
Are you an aggrieved party? (Check one)
: □ Yes □ No
State your reason for appealing the decision of the administrator
or enforcement officer :
A. COMPLETE IF APPLYING FOR ZONING MAP CHANGE:
Proposed Zone:
Describe the existing use of land and buildings in the zone change area:
Describe the proposed use of land and buildings in the zone change area:
Reason for this request:
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EnerGov
App.
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C. COMPLETE IF APPLYING FOR ZONING VARIANCE:
State the particular hardship* or unnecessary difficulty that prompts this application :
*A “hardship” as defined by the Connecticut State Statutes Section 8-6 whereby “with respect to a parcel of land where, owing to conditions
especially affecting such parcel but not affecting generally the district in which it is situated, a literal enforcement of such bylaws, ordinances or
regulations would result in exceptional difficulty or unusual hardship.” Note that “mere financial loss does not constitute hardship warranting
granting of variance [unless] loss is so great as to amount to confiscation of applicant’s property, [a]variance might be justified.”
D. COMPLETE IF APPLYING FOR SUBDIVISION, LOT LINE REVISION, OR LOT COMBINATION
Lot Subdivision/Lot Line Revision:
Number of new lots to be created: Area of each of the new lots in square feet
Street frontage of each of the new lots in feet
Lot Combination:
Address of lots to be combined
Map/Block/Lot for each property to be combined: Map
Map
Block Lot
Block
Lot
Map Block Lot
(Map/Block/Lot and address information can be found at http://gis.hartford.gov/parcelviewer/index.html)
E. COMPLETE IF APPLYING FOR HISTORIC REVIEW
IMPORTANT: HISTORIC COMMISSION APPROVAL MUST FIRST BE OBTAINED BEFORE ANY BUILDING
OR DEMOLITION PERMIT WILL BE ISSUED FOR WORK ON HISTORIC PROPERTIES. NO WORK MAY
BEGIN UNTIL A BUILDING PERMIT IS ISSUED
Please check if photographs are included with application (required for certain projects)
Proposed work includes:
□ Repairs
□ Addition
□ New
□ Demolition
□ Other
(Check all that apply)
construction
(specify)
If proposing demolition, provide reason (attach additional pages if necessary):
Current materials being repaired/replaced:
Materials/products being used in work:
5
. SIGNAT
URE(S)
B
y s
ign
ing below, I certify that all work w
ill
be done in strict accordance with the LOCAL, STATE AND FEDERAL CODES.
Further, a
ll work covered by this application has been authorized by the owner of this property. No work shall commence until all
determinations have been made and the proper permits have been obtained.
Date:
Date:
Signature of Applicant:
Printed Name of Applicant:
Signature of Property Owner:
Printed Name of Property Owner:
F. COMPLETE IF APPLYING FOR A SIGN PERMIT
NOTE: Please submit two copies of all drawings drawn to scale. Sign drawings should include the dimension
of the sign. Elevation of building should include the location of proposed and existing sings. Site plans should
include the location of proposed and existing signs and their distance from Buildinglines and Propertylines.
4. Engineer Name (if any): Phone:
Address:
1. Is this sign proposed outside of the Buildingline?
□ Yes □ No
Maximum extension from the Buildingline: ft. in.
2. Is this sign proposed outside of the Streetline?
□ Yes □ No
Maximum extension from the Streetline: ft. in.
3. Is this sign illuminated?
□ Yes □ No
5. Minimum distance from lowest point of sign to sidewalk: ft. in.
6. Maximum height of sign from lowest established grade: ft. in.
7. Distance from the nearest outdoor sign: ft. in.
8. Square feet of surface for one face of the sign: ft. in.
9. Wording on the sign (include all words):
Description of work (attach additional pages if necessary):
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Common Application 2019 - English

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Completed 12 July 2020

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