CASE # ________________________
RECEIVED:
APPLICATION FOR MINOR SITE PLAN
APPROVAL
SITE NAME:
_________________________________________________________________
APPLICATION is hereby made for a Minor Site Plan. No plan shall be classified as a minor site if
(a) a variance is required, (b) the plan increases the size of the existing
building by more than 10% or 500 sq. ft., whichever the lesser, or (c) the plan
increases the number of off-street parking spaces by more than 10% of existing
or more than 5 in number, whichever the lesser. (Deletion of “a variance is
required) This will also require a
change in the Minor Site Plan Ordinance per Township Planner.
This site is located in a __________________zone(s).
1. Applicant’s
Name ___________________________Phone _____________Fax: ____________
Address:
____________________________________________________________________
2. Owner’s Name
_____________________________Phone _____________Fax: ____________
Address:
____________________________________________________________________
3. Attorney’s
Name ____________________________Phone _____________Fax:____________
Firm and
Address: _____________________________________________________________
5. Name and
address of person preparing plans______Phone_____________Fax: ____________
PROFESSION
Name
_______________________________________________________________________
Address
_____________________________________________________________________
6. Total square footage of building
______________Total square footage of lot _______________
7. Deed Restrictions that apply or are
contemplated. (If no restrictions, state “NONE”, IF “YES”
attach
copy.
____________________________________________________________________________
8. Plan for use of the proposed building
______________________________________________
____________________________________________________________________________
Revised
APPLICATION FOR MINOR SITE PLAN
PAGE TWO OF TWO
9. If addition is used as a storage
facility, please list materials that will be stored. (If chemicals
or other
hazardous materials are to be contained, please list amounts, chemical name,
and
common
brand name:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
10. Briefly
describe any prior or presently pending proceedings before the Warren Township
Planning Board or any other Federal, State, or Local Board or Agency involving
the property which is the subject of this application.
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
11. List
any other material accompanying this application, i.e. plans, drainage
calculations, etc.
_________________________________________________________________________
_________________________________________________________________________
_____________________________________
Applicant’s
Signature
Date
CONSENT OF OWNER IF
OTHER THAN APPLICANT
I, the
undersigned, being owner of the lot or tract described in the foregoing
application, hereby consent to the making of this application and the approval
of the plans submitted herewith:
Date:
________________________________ ________________________________________
OWNER’S SIGNATURE
WITNESS:
___________________________ ________________________________________
OWNER’S SIGNATURE
________________________________________
OWNER’S SIGNATURE
REVISED 1-1-93; 7-16-97; 6/3/2010