Estimated Cost of Proposed Improvement: $____________________
Estimated/Projected number of daily customers, employees, residents, etc.:
__________________________________________________________________________________________
__________________________________________________________________________________________
Estimate/Projected Hours of Operation: _______________________________________________________
Describe proposed use, including primary and secondary uses; ground floor area; height; and number of
stories for each building:
- for residential buildings include number of dwelling units by size (efficiency, one-bedroom, two-bedroom,
three- or more bedrooms) and number of parking spaces to be provided.
- for non-residential buildings, include total floor area and total sales area; number of automobile and truck
parking spaces.
- other proposal structures.
(Use separate sheet if needed)
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
APPLICATIONS WILL NOT BE ACCEPTED WITHOUT SIGNATURE OF LEGAL OWNER OR OFFICIAL AGENT
Check one: √
Owner
Power of Attorney*
Contract to Purchase*
Official Agent*
Other: ____________________
*Attach evidence
I hereby certify that the above information and
accompanying documents are truthful ad accurate to
the best of my knowledge and acknowledge that the
processing of this application may require additional
fees and expenses, at my expense, for preparation of
necessary environmental, engineering and planning
studies.
________________________ ________________
Legal Owner/Official Agent Date
________________________ ________________
Legal Owner/Official Agent Date
________________________ ________________
Applicant (If Different) Date
Lead Agency: ___________________ Environmental Determination: _________
Type I Type II Unlisted
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Final Plans Signed and Filed: ________________ _______ Application Closeout Date: _________
Director of Planning Date
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Public Hearing: Yes No Date Advertised: __________ Date Conducted: __________
Residential: $250.00*
Non-Residential: $500.00**
Concept: $200.00 (Fee goes toward full review)
*add $50.00 per 1,000 Sq. Ft. Gross Floor Area
**add $150.00 per 2,500 Sq. Ft. Gross Floor Area
Site Plan Application (8/2010)
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