Fillable REQUEST FOR RADIUS MAPS (Town of Brookhaven)

Fill Online, Printable, Fillable, Blank REQUEST FOR RADIUS MAPS (Town of Brookhaven) Form

Use Fill to complete blank online TOWN OF BROOKHAVEN (NY) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

REQUEST FOR RADIUS MAPS (Town of Brookhaven)

On average this form takes 4 minutes to complete

The REQUEST FOR RADIUS MAPS (Town of Brookhaven) form is 1 page long and contains:

  • 0 signatures
  • 0 check-boxes
  • 14 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Town of Brookhaven

BROWSE TOWN OF BROOKHAVEN (NY) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
REQUEST FOR RADIUS MAPS
☐ 200’ ($159.50) ☐500’ ($319.00)
ALLOW 15 DAYS TO PICK UP MAPS
APPLICANT: ______________________________________________________________
ADDRESS: ______________________________________________________________
PHONE #: ______________________________________________________________
OWNER ON TAX ROLL: ____________________________________________________
PARCEL SCTM#: __________ - __________ - __________ - __________
DISTRICT SECTION BLOCK LOT
OR
PARCEL ITEM#: ______________________
*COPY OF SURVEY MUST ACCOMPANY THIS REQUEST*
DEPARTMENT REQUESTING RADIUS MAP:
☐ ZONING BOARD OF APPEALS
☐ PLANNING BOARD
☐ TOWN BOARD (LAND USE APPLICATION)
Town of Brookhaven
Long Island
Edward P. Romaine
, Su
pervisor
Department of the Assessor
Richard P. DeBragga, Assessor
One Independence Hill •
Farmingville •
NY 11738 •
Phone (631) 451-6300 •
Fax (631) 451-6379
www.brookhavenny.gov
printed on recycled paper
FOR OFFICE USE ONLY
DATE:___________ RADIUS MAP#:____________ CHECK#:____________ RECEIPT#:__________
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

REQUEST FOR RADIUS MAPS (Town of Brookhaven)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 2 August 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document