Case # __________                                                                                         Received:

 

WARREN TOWNSHIP PLANNING BOARD

APPLICATION FOR PRELIMINARY MAJOR SUBDIVISION

 

SITE NAME ___________________________________________________________

 

APPLICATION is hereby made for Preliminary __________Amended ________ approval of a major subdivision to be located in the ____________zone(s).

 

1.                   Applicant’s Name ______________________________Phone ________________________

 

Fax: _____________________Street Address ____________________________________

 

Town, State, Zip: ____________________________________________________________

 

2.                   Owner’s Name ________________________________ Phone _______________________

 

Fax: ______________________ Street Address: __________________________________

 

Town, State, Zip: ___________________________________________________________ 

 

3.                   Attorney’s Name ________­­­­_______________Phone_____________Fax: ______________

 

      Firm and Address __________________________________________________________

 

      4,         Name of Person Preparing Plans _______  Phone _______________Fax: ______________

                                                             Profession

 

                   Name _______________________________Firm _________________________________

 

      Address: __________________________________________________________________

               STREET, CITY, STATE, ZIP CODE

 

  1.       Location of Subdivision ______________________________________________________

STREET

 

                  ________________________________________________________________________

                   TAX MAP BLOCK        LOT NO(S)              TOTAL AREA ACREAGE                 NUMBER OF PROPOSED LOTS

 

  1.       List any zoning variances required and if so, in addition, attach hereto as a  

      separate rider your factual basis and legal theory for the relief sought.

 

      ________________________________________________________________________ 

 

      ________________________________________________________________________ 

 

  1.       Deed Restrictions that apply or are contemplated. (If no restrictions, state “NONE”, if “YES”

      Attach copy.) ____________

 

  1.       Development Plans ________________________________________________________ 

 

    1. Sell Lots Only? ________________Construction of Homes for sale? (yes or no) _____

 

    1. Other ________________________________________________________________

WARREN TOWNSHIP PLANNING BOARD

MAJOR PRELIMINARY SUBDIVISION APPLICATION                                          PAGE 2 0F 2

 

  1. 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.

 

_____________________________________________________________________________ 

 

_____________________________________________________________________________ 

 

  1. List any other material accompanying this application, i.e. plans, drainage calculations, etc.

 

____________________________________________________________________________ 

 

____________________________________________________________________________ 

 

 

 

 

 

                                                                             _____________________________________

                                                                        Applicant’ Signature                          Date

 

 

 

 

 

 

 

CONSENT OF OWNER IF OTHER THAN APPLICANT

 

I, the undersigned, being the 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

 

                                                                        ______________________________________ 

WITNESS                                                         Owner

                                                                         

___________________________________           ______________________________________

                                                            Date     Owner

 

 

 

 

 

 

 

Revised 1/1/93

Revised 7/16/97

Revised 6/3/2010