Land Use Application - East Manchester Township
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310/3/14 rev.
East Manchester Township
Tax Map #_____ Parcel #_____
LAND USE APPLICATION
Application Date:
_________________________
Applicant Name: _________________________________________________Telephone #: ________________
Address: ___________________________________________________________________________________
PROPERTY OWNER INFORMATION - (if different than applicant)
Name(s): ______________________________________________________Telephone #: __________________
Address: ___________________________________________________________________________________
PROPERTY INFORMATION
Address Work is Occurring At: _________________________________________________________________
Subdivision: _______________________ Lot #: _____ Lot Size: ________ Corner Lot? ________
Special Exception/Variance Granted: No Yes
_____________________________________________
(describe)
Right-Of-Ways or Easements? ________ Flood Zone? ________
(if yes, submit details including engineer's drawing)
Water system: public______ private______ on-site well______
(attach copy of permit for new construction)
Sewage system: public/NEYCSA sewer permit #_____________
private_____________
on-lot sewage permit #_____________
(attach copy of permit for new construction)
Is the street along which the proposed work is located? Paved_____
Curbed_____
Sidewalk_____
My road is: Private: _____ Township: _____ State: _____
(attach Township Road Occupancy application or State Highway
Occupancy Permit)
Slope of Driveway: ________ %
(attach plot plan and spot elevation plan for new construction)
Project Value: $__________________
PROPOSED USE INFORMATION
Use: Residential: _____ Non-Residential: _____ Addition
_____ Alteration
_____
(Reason?)
(Describe):
Reason/Description: _________________________________________________________________________
# Family Units: _____ # Bedrooms/Unit: _____ # Bathrooms/Unit: _____
Maximum: Height: ________ft Length: ________ft Width: ________ft
Total Dwelling Square Footage: _________ Habitable Area: _________ Unfinished: ________
IMPERVIOUS
TOTAL
SURFACE
Patio(s):
________sq/ft
Primary Structure: ________sq/ft
Pool:
________sq/ft
Garage(s):
________sq/ft
Addition:
________sq/ft
Shed(s):
________sq/ft
Other:
________sq/ft Describe: _______________
Driveway/Lot:
________sq/ft
TOTAL: _____________SQ/FT
Deck(s):
________sq/ft
FOR OFFICE USE ONLY:
Zoning District: _____ Minimum Lot Area: ____________ Maximum % Coverage: ____
Minimum Setbacks: Front: ____ Rear: ____ Sides: ____
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