Site Plan Review Application Form - Town Of Poestenkill printable pdf download

Site Plan Review Application Form - Town Of Poestenkill

TOWN OF POESTENKILL

38 Davis Drive / P.O. Box 210

Poestenkill, NY 12150

(518) 283-5100 Phone

(518) 283-7550 Fax

PLANNING BOARD

SITE PLAN REVIEW APPLICATION

Applicant Name:

____________________________________________

Address:

____________________________________________

_____________________________________________

____________________________________________

Home Phone: ______________ Work Phone: ____________

Cell Phone: _________

Email Address:

_____________________________________________

Property Owner

(if not applicant):

Name:

_____________________________________

Address:

____________________________________________

_____________________________________________

Home Phone: _____________ Work Phone: __________

Cell Phone: ________

Email Address:

_____________________________________________

Signatures:

_________________________

Applicant:

Date

____________

Owner:

_________________________

Date

____________

(If different from applicant) MANDATORY

APPLICANT OR THEIR REPRESENTATIVE MUST APPEAR AT ALL BOARD MEETINGS

Site Plan Review Application Form - Town Of Poestenkill