WAIVER
TOWN OF SMITHTOWN
Suffolk County, New York
APPLICATION FOR WAIVER OF SITE PLAN CONDITIONS (SEC. 322-86D.)
CHECKLIST OF REQUIRED ITEMS
This form must be completed, and filed with the following at the Planning Department:
$1,000 per item requested to be waived
Any necessary plans
SITE LOCATION
SCTM#: District 800, Section , Block , Lot Zoning District:
Address
APPLICANT/ CONTACT PERSON
Name
Address
Phone ( ) Fax # ( )
Applicant’s interest in site (Owner, tenant, attorney, etc.):
Email:
REQUEST
It is requested that the Board waive a condition previously imposed by the Board on a previously
approved plan.
Name of Approved Site Plan:
Date of Approved Site Plan:
Condition #: What was the condition?
Reason for request:
JUSTIFICATION FOR WAIVER
Answer the following in a separate letter and attach if more room needed…
Will approval of the waiver result in a violation of Town Code?
Will approval of the waiver hinder the intent of Sec 322-85A of Town Code (Good Site Design)?
What is the practical difficulty in carrying out the condition of approval?
Does approval of the waiver promote the public good?
January 2019
