Fillable Ref Form UCPB Referral Form (County of Ulster)

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Ref Form UCPB Referral Form (County of Ulster)

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U.S.A. forms for County of Ulster

BROWSE COUNTY OF ULSTER (NY) FORMS

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Ulster County Planning Board
General Municipal Law 239 M-N Referral Submittal Form
Site Plan Review
Special Permit
Area Variance
Use Variance
Amend Zoning Statute
Amend Zoning Map
Comprehensive Plan
Subdivision
Municipality:
Referring Board:
Referring Official:
Phone Number:
Local File #:
Applicant Name:
Project Name:
Type of Referral
(Check All Those That Apply)
Received Stamp:
Section
Parcel(s) Information
Section
Block
Block
Lot
Lot
Please Fill Out All Sections - Type or Print Only
Parcel Utilities
Return Form to:
Referral Officer
Ulster County Planning
Board
P.O. Box 1800
Kingston, NY 12402
Mail or Hand Delivery
Only Please!
Questions? - Call
845-340-3340
Referral #
Agenda Date:
Major Project?
UCPB Staff Use Only
Location of Project: (Address or Nearest Intersection)
Project Description: (Please Be As Specific as Possible)
Zoning District(s) of Project
Other Special Authorizations
Project Acreage
Referring Official - Signature - Certification of Application's Completeness:
GML/Ulster County Charter Referral Criteria:
(Choose One)
Within 500 feet of a: County Road or State Road, City, Village, Or Town
Boundary, County or State Park or Other Recreation Area, Stream or Drainage
Channel Owned or Established Channel Line by County, County or State Owned
Land with public building or institution Located on it, or Boundary of Parcel with a
farm operation
Greater than 500 feet of : Any of the Above Listed Conditions
Type I Action
Type II Action
Unlisted Action
SEQRA Determination
Number of Lots
239-M:
239-N:
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Ref Form UCPB Referral Form (County of Ulster)

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Completed 18 July 2020

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