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Nature of Request and Fees

Fee Schedule:

Please choose the appropriate fee below. For areas greater than 100.01 acres the fee is $800 + $2 per additional acre.*

0-5.0 Acres - $200 5.01-10.0 Acres - $300 10.01-20.0 Acres - $400 20.01-50.0 Acres - $600 50.01-100.0 Acres - $800 100.01 + Acres - $800 Sign - $50

100 + Acres

Quantity (total acres - 100)

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Requirements

The following information must be submitted in a portable digital format (pdf) with this application and appropriate fee:

• One set of civil, site/landscape, architecture plans scaled to 11" x 17" in a portable digital format (pdf)—plans must include all information required in the Non-commercial Design Review Checklist.

In addition to the above required information, the following information is attached (please list):

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PROJECT NAME:*

Parcel ID or Tax Map #(TMS#):*

COMPLETE ADDRESS OF PROJECT (Address must be assigned by the Planning Department prior to submittal. If in shopping center, indicate shopping center name also.)*

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Primary Contact Name:*

Firm:*

Phone:*

Email:*

Owner / Developer Name:*

Firm:*

Phone:*

Email:

Architect Name:

Firm:

Phone:

Email:

Landscape Architect Name:

Firm:

Phone:

Email:

Engineer Name:

Firm:

Phone:

Email:

Other Approvals

Indicate the date(s) of ALL other Town approvals for this project:

Town Council:

Planning Commission:

BOZA:

Please attach supplemental information outlined above:*

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

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I certify that I am the owner or serve as the owner’s representative and am duly authorized to complete this application. I certify that all information required for review of this submittal is included. If an application is found to be incomplete, the primary contact will be notified and the application removed from the agenda. I also understand that any changes or alterations made to the approved final drawings must be resubmitted for approval and that a Certificate of Occupancy will not be issued if the building and/or site and landscaping differ from the approved plans. I understand that selecting the box below will serve as my electronic signature.*

I agree

Information of person completing electronic signature

Name:*

Date:

Address (if different from above):

Email (if different from above):

Phone (if different from above):