Fillable Town of Pine Plains Planning Board Subdivision and (Town of Pine Plains)

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Town of Pine Plains Planning Board Subdivision and (Town of Pine Plains)

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Town of Pine Plains
Planning Board
Subdivision and Lot Line Adjustment Application
APPROVAL REQUESTED FOR
Please type or print clearly
Minor Subdivision_____ Major Subdivision_____
Lot Line Adjustment_____ Natural Subdivision Determination_____
Please review the Pine Plains Subdivision Regulations and Article VII of the Pine Plains
Zoning Law prior to making application
Name of Subdivision:
_______________________________________________________________________
Location of Project/Street Address: ___________________________________________
_______________________________________________________________________
Tax Map Number of all Parcels:_____________________________________________
_______________________________________________________________________
_______________________________________________________________________
Attach a copy of the current deed with any easements and covenants affecting property
Detailed Description of Proposed Subdivision: __________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Name, Address and Telephone and Email of Applicant and/or Applicant’s agents:_____
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
1
Print Form
Is the Applicant the Property Owner? If no, list Name, Address and Telephone & Email
of the property owner(s):______________________________________________
_______________________________________________________________________
If the applicant is not the owner of the land to be subdivided, the applicant shall provide
the Planning Board with a notarized statement from the owner authorizing the applicant
to act for the owner as agent for the owner and to make application for the subdivision.
The statement shall be submitted on a form supplied by the Planning Board.
Is the site in a State and County approved Agricultural District? ____If so, which_____
If within an Ag District, does the property contain, or is it within 500 feet of an
Agricultural Operation? ____ If yes, submit an Agricultural Data Statement as per 283-a
of Town law.
Is the site within an approved Critical Environmental Area? ______
Zoning District(s) the site is situated in: _______________________________________
Current Land Use of Site:__________________________________________________
______________________________________________________________________
Use of Surrounding Lands: _________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Total Acreage of Parcel Controlled By Owner/Applicant: ____________
Total Acreage to Be Subdivided: _________
Number of Proposed Lots: ___________
Proposed Use of Each Lot: _________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
2
3
Is Acreage to Be Subdivided Under Option or Contract to Sell? ____________________
If yes, To Whom: _________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
The signature of the Owner of Agent of the Owner below shall mean that the applicant is
familiar with and will comply with the requirements of the Pine Plains Zoning Law, the
Town’s Subdivision Regulations, and any other appropriate Town ordinance and
regulation with regards to this project.
Additionally, said signature will serve as written permission for the Planning Board,
ZEO, Building Inspector, Highway Superintendent, or any of the Town’s contracted
consultants or agents to conduct site visits as may be required during the review and
subsequent construction
Signature: _______________________________________________________________
Print or Type Name: ______________________________________________________
Date: ____________
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Town of Pine Plains Planning Board Subdivision and (Town of Pine Plains)

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Completed 14 July 2020

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