APPENDIX A: APPLICATION FORM

Tatamy Borough    Application Form for    Subdivision or Land Development

FOR OFFICE USE ONLY

FILE NUMBER

New Submission          Resubmission

Date of Application                      (to be filled in by borough staff)

Sketch Plan Review

Preliminary Plan         Name of Development

Final Plan

Minor Subdivision      Location

Resubdivision

Boundary Line Adjustment

Landowner’s Name                                                                Telephone #

Address

Applicant’s Name                                                                  Telephone #

Address

Plan Preparer’s Name                                                             Telephone #

Address

Total Acreage               Number of Lots

Water Supply: On lot well:                   Public:                   Other:

Sewage System: Private (on lot):                   Public:                   Other:

Submit three copies of this form to the borough staff. A copy will be receipted and returned to you.

Previous subdivision or construction on this tract within the past 5 years:

Any relevant zoning variances/special exception approvals on this tract (and dates):

Application Fees Paid:   1.   Check to Tatamy Borough

2.   Check to Joint Planning Commission

I HEREBY ACKNOWLEDGE AND REQUEST REVIEW OF THIS APPLICATION

Applicant’s Signature

I hereby authorize the Planning Commissioners, Borough Council members, Borough Engineer, code enforcement staff and any borough wetlands consultant to enter the exterior premises of this property, between 9:00 a.m. and 8:00 p.m. at their own risk, while this plan is being considered for approval, as needed to determine compliance with borough ordinances (Optional)

Applicant/Land Owner’s Signature

(Lower Half of Page For Borough Use Only)

Initial Review Received From Borough Engineer:                  (check off)

Joint Planning Commission Review:   Date Sent to:

Date Review from:

Final Action by Borough Planning Commission:   Date:

Action Taken:

Final Action by Borough Council:   Date:

Action Taken:

Date Applicant Notified of Borough Council Final Action:

Borough Staff Initial Review Comments:

 

(Ord. passed 2-3-1992)