Land Development Application Form - Township Of Florence
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4DATE OF SUBMISSION:_____________________
RECEIVED BY:_____________________
_____ZONING BOARD ____PLANNING BOARD
APPLICATION NO.__________________
______________________________________________________________________________________
TOWNSHIP OF FLORENCE
LAND DEVELOPMENT APPLICATION
If you are not familiar with the Florence Township Ordinance requirements please ask to see a member of the Planning/Zoning Staff prior to filling
out the application.
A.
BASIC INFORMATION
1.
2.
:___________________________
:_____________________________
APPLICANT NAME
OWNER NAME
:___________________________
:__________________________
STREET ADDRESS
STREET ADDRESS
:_______________
:______
:________
:_________________
:_____
:______
CITY
STATE
ZIP
CITY
STATE
ZIP
:______________________________
:_______________________________
TELEPHONE
TELEPHONE
.
If applicant is not owner, set forth in detail the nature and source of the legal beneficial right by which you can claim to submit
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this application.
4.
TYPE OF APPLICATION: (
check as many items as applicable)
Starred (*) application require a public hearing with notice and legal advertisement.
___Major Site Plan – Final
___Minor subdivision
___Interpret zoning map or ordinance
___Major Sub-Prel*
___Conditional Use*
___Bulk variances*
___Major Sub-Final
___Use variances*
___Minor Site Plan*
___Informal Review
___Major Site Plan-Prel.*
___Appeal of decision of an
___Other
Administrative Officer
NOTE: If a variance is requested in conjunction with this application the exact nature of the variance must be indicated on the application
Form – SEE No. 15.
5.
LIST OF INDIVIDUALS WHO PREPARED PLANS:
ARCHITECT
SITE PLANNER
NAME:_________________________________
NAME:_________________________________
STREET:________________________________
STREET:________________________________
CITY:____________STATE:____ZIP:_________
CITY:______________STATE:____ZIP:_______
TELEPHONE:_____________________________
TELEPHONE:_____________________________
ENGINEER
ATTORNEY
NAME:_________________________________
NAME:_________________________________
STREET:________________________________
STREET:________________________________
CITY:____________STATE:____ZIP:_________
CITY:______________STATE:____ZIP:_______
TELEPHONE:_____________________________
TELEPHONE:_____________________________
FAX:_____________________________________ FAX:_____________________________________
SITE INFORMATION
6.
LOCATION OF PROPERTY
STREET ADDRESS____________________________________________________________
BLOCK NO._______________________
LOT NO:__________________________________
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