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~PLICATION TO PL~ING BOARD FOR REVIEW AND APpROVAL OL SUBDIVI~Q~
CITY O~TTSBURG~
Page 1 of 2
DATE:
25.00
FEE:
APPLICANT: (Subdivider):
OWNER
If Different
Name:
Name:
Address:
Address:
Plan Prepared by (Licenses Land Surveyor or Engineer):
Name:
Title of Plan
Address:
Date of Plans:
Location of Land to be Subdivided:
Street Address:
Tax Number of Parcel(s):
Zoning Use Designation:
Existing or Proposed Easements and any Proposed covenants:
Total site area (square feet or acres):
Ownership intentions
i.e., purchase options):
Current land use of site (commercial, residential, undeveloped, etc.)
Current condition of site (building, brush, etc.
Page 2 of 2
~UbdiViSiOn Application)
For subdivision involving extension of public street or utilities:
Start of construction and duration
A.
If yesl explain:
Will development be staged?
B.
Detail any requested exceptions to the requirements of the Subdivision
Ordinance:
Explain in detail the reason(s) for the requested subdivision:
The undersigned hereby requests approval by the Planning Board of the above
identified subdivision plat:
SIGNATURE:
INSTRUCTIONS:
Type or print neatly only.
Complete all blanks
2.
Submit completed application, fee and one location map, sketch plan,
survey/subdivision plat, existing and proposed conditions, details
and all information as required by the Subdivision Ordinance, Article
6, "Documents to be Submitted." Also submit a completed PART I SEQR
REVIEW Form (Attached). The application will be reviewed by the
Engineering Department for completeness and verification that all
required information is provided. After review and acceptance the
application will be returned and the applicant is to submit fifteen
(15) sets of the approved application and required information.
3.
Submit completed applications and attachments to:
Engineering & Planning Dept
41 City Hall Place
Plattsburgh, N.Y. 12901
518)563-7730
A sub-division review request cannot be placed on the Planning
Board Agenda until the Engineering and Planning Dept. certifies the
submittal is complete and contains all information as required.
NOTE:
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