Subdivision Development Application

Subdivision Development Application

Applicant Information

Property / Project Information

Project Name:

Parcel / Tax ID Number:    Existing Zoning:

Legal Description

Proposed Development

Type of Subdivision: Minor Major Condominium

Infrastructure, Access & Utilities

Proposed Access:

Water Service:    Sewer Service:

Environmental / Constraints

Are wetlands or floodplain present?   Yes No

Supporting Materials Checklist

Include the following with this application (check each submitted item):

Completed application form    Site plan / Plat    Legal description    Wetland / Environmental studies

Traffic analysis    Geotechnical report    Proposed HOA/bylaws    Other (describe below)

Fees & Payment

Application Fee Amount: $    Deposit or Escrow (if required): $

Payment Schedule and Billing: Applicant agrees to pay all review, inspection and permit fees in accordance with the municipality's fee schedule. Late payment will incur interest and administrative charges as set forth below.

Late Fee: If payment remains overdue beyond 30 days after billing, a late fee of will be applied and interest shall accrue.

Term, Review and Termination

Application Date:    Requested Completion / Expiration Date:

Notice Period for Withdrawal: Applicant may withdraw this application upon written notice to the planning department. Written notice must be provided at least days prior to desired termination of processing.

Certifications, Authorizations & Acknowledgements

The undersigned certifies, under penalty of law, that the information provided in this application and all attachments is true and accurate to the best of the applicant's knowledge. The applicant authorizes municipal representatives to enter the subject property for the purpose of site inspection, review and analysis during normal business hours or at other reasonable times.

Applicant further acknowledges responsibility for compliance with all applicable local ordinances, conditions of approval, permits and for construction of required improvements. Approval of this application does not relieve the applicant of the obligation to obtain other permits or approvals where required.

Indemnification: To the fullest extent permitted by law, the applicant agrees to indemnify, defend and hold harmless the municipality, its officers, employees and agents from and against any claims, liabilities, damages or expenses, including reasonable attorneys' fees, arising out of or relating to the applicant's submission, development, construction, or operation of the proposed subdivision.

False Statements Warning: A false statement on this application may be punishable as a misdemeanor, civil penalty, or both under applicable law.

Owner Authorization (If Applicant Is Not Owner)

If the applicant is not the property owner, the owner authorizes the filing and processing of this application and consents to municipal access for purposes of review and inspection. Owner Name:

Owner Contact:

Governing Law and Entire Agreement

This application and any approvals issued pursuant to it shall be governed by the laws, codes and ordinances of the jurisdiction in which the property is located. This application, together with any written conditions of approval, constitutes the entire statement of the applicant's proposal and supersedes all prior representations and communications, whether oral or written, related to the subject matter.

Signature and Certification

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