Submit to the Permits and
Inspections Department,
TOWN OF
Planning Department
A Minor
Alteration is an inconsequential change to an existing use, structure, or site
which is subject to a previously approved site plan. Applications are due Thursday by
One set of the
site plan, elevation and/or diagram of the property
MUST BE ATTACHED in 11x17 inch format (or smaller)
TYPE OF ALTERATION Application fee $50.
□ Changes to
the existing building faηade □ Changes to the approved landscaping (3 Copies)
(elevations, materials, color,
and samples) (show easements, safe site triangles, plant
list)
□ Changes to
exterior lighting (only existing lighting) □ Additions to buildings not exceeding
1% of existing
(elevations, materials, color, and samples) square
footage or improved floor area (includes
mechanical or incidental equipment)
□ Detailed Description of work
to be completed:
______________________________________________________________________________________________
____________________________________________________________
Real ID or PIN # ____________________ Project Name Previously approved site ____________________________________________________________
plan number _____________________________ Location (exact street address)
Applicant name
________________________________Company
Name_______________________________________
Address
_______________________________________________________________________Zip
________________
Phone ____________________________________Fax
___________________________________________________
E-mail
address________________________________________ Contact phone
________________________________
Property Owners
Name______________________________________________________________________________
Property Owners
Address_______________________________City/State___________________Zip_______________
OWNERS STATEMENT
I,_________________________________________________________,acting
as agent for the owner/developer hereby submit the attached site plan for
review. I understand that failure to
address any item listed on this application shall result in the plan not
meeting the minimum submission requirements and said plan shall be returned to
me for revision and resubmission prior to review.
____________________________________
_____________________________________________ _________________
Applicants name
(print)
Signature Date
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _
Method of
payment: Cash _______ Check ________ Credit card _________ Amount $_________ HTE ______________
File Number
___________________________________ Plans
received______________________________________
Planning Department
Approval: _______________________________________
Date: __________________________
Conditions of Approval: _______________________________________
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