subapp

TOWN OF TURNER

SUBDIVISION APPLICATION

PROPOSED SUBBDIVISION NAME____________________________________________

APPLICANT INFORMATION

1. NAME OF PROPERTY OWNER: ____________________________________________________________

ADDRESS:_______________________________________________________________________________

TELEPHONE: ________________________ WORK: ____________________ CELL:_________________

2. NAME OF APPLICANT: __________________________________________________________________

ADDRESS: _____________________________________________________________________________

TELEPHONE: ________________________ WORK: ____________________CELL: _________________

3. IF APPLICANT IS A CORPORATION, VERIFY MAINE LICENSE: _____ YES (ATTACH COPY_____ NO

4. NAME OF APPLICANT’S AUTHORIZED AGENT: ___________________________________________

ADDRESS: ______________________________________________________________________________

TELEPHONE: _________________________FAX: _____________________REG NO_________________

5. PERSON/CONSULTING FIRM TO WHICH ALL CORRESPONDENCE REGARDING THIS APPLICATION SHOULD BE SENT TO: _________________________________________________________

___________________________________________________________________________________________

6. WHAT LEGAL INTEREST DOES APPLICANT HAVE IN THE PROPERTY TO BE DEVELOPED? (OWNERSHIP, OPTION, PURCHASE AND SALES CONTRACT, ETC) ATTACH EVIDENCE OF INTEREST

7. WHAT INTEREST DOES APPLICANT HAVE IN ANY ABUTTING PROPERTY? ___________________

___________________________________________________________________________________________

LAND INFORMATION

8. LOCATION OF PROPERTY: BOOK: _____________PAGE:________________DATE _______________

ASSESSOR’S MAP: ______________ LOT: ______________ STREET LOCATION:_____________________

9. CURRENT ZONING OF PROPERTY: ________________________________________________________

10. IS ANY PORTION OF THE PROPERTY WITHIN 250’ OF THE HIGH WATER MARK OF A POND, RIVER, STREAM OR UPLAND EDGE OF A WETLAND? ______YES ______ NO

11. ACREAGE TO BE DEVELOPED?_____________IMPERVIOUS SURFACE PROPOSED:____________

12. INDICATE THE NATURE OF ANY RESTRICTIVE DEED COVENANTS AND RESTRICTIONS TO BE INCLUDED IN THE DEEDS: (ATTACH COPY)

13. HAS THE LAND BEEN PART OF A PREVIOUSLY APPROVED SUBDIVISION? ______ YES ______ NO

HAS PROPERTY BEEN OTHERWISE DIVIDED IN THE PAST FIVE YEARS? ______ YES ______ NO

14. IDENTIFY EXISTING USE (S) OF PARCEL: ________________________________________________

__________________________________________________________________________________________

15. DOES THE PARCEL INCLUDE ANY WATER BODIES OR PORTIONS THEROF? ______ YES _______NO, IF SO THEY MUST BE INDICATED ON PLAN

16. IS ANY PORTION OF THE PROPERTY WITHIN A SPECIAL FLOOD HAZARD AREA AS IDENTIFIED BY THE FEDERAL EMERGENCY MANAGEMENT AGENCY? ______ YES ______ NO

1`7. LIST BELOW THE NAMES AND MAILING ADDRESSES OF ANY PROPERTY OWNERS ABUTTING THE PARCEL TO BE DIVIDED.

NAME ADDRESS

___________________________________________________________________________________________

______________________________________________________________________________________________________________________________________________________________________________________

___________________________________________________________________________________________

GENERAL INFORMATION

18: PROPOSED NAME OF SUBDIVISION: _____________________________________________________

19. PROPOSED NUMBER OF LOTS/UNITS: _______________________

20. ANTICIPATED DATE FOR START OF CONSTRUCTION: ____________________________________

21. ANTICIPATED DATE FOR COMPLETION: ________________________________________________

22. IDENTIFY METHOD OF WATER SUPPLY TO THE PROPOSED DEVELOPMENT:

_____ INDIVIDUAL WELLS

_____ CENTRAL WELL WITH DISTRIBUTION LINES

_____ OTHER - PLEASE STATE

23. IDENTIFY METHOD OF FIRE PROTECTION FOR THE PROPOSED DEVELOPMENT:

______ DRY HYDRANTS

______ EXISTING FIRE POND

______ OTHER - PLEASE STATE ALTERNATIVE

24. DOES THE APPLICANT PROPOSE TO PRESENT TO THE PUBLIC ANY STREETS, RECREATION OR COMMON LANDS?

STREET (S) ______ YES ______ NO ESTIMATED LENGTH ______________

RECREATION AREA ______ YES ______ NO ESTIMATED ACREAGE_____________

COMMON LAND ______ YES ______ NO ESTIMATED ACREAGE ____________

25. DOES THE APPLICANT INTEND TO REQUEST WAIVERS OF ANY OF THE SUBDIVISION SUBMISSION REQUIREMENTS? IF YES, LIST THEM AND STATE YOUR REASONS FOR THE REQUEST: _________________________________________________________________________________

___________________________________________________________________________________________

26. STATE BELOW THE ESTIMATED TOTAL COST OF THE PROJECT, AS PROPOSED IN THIS APPLICATION AND ITEMIZE MAJOR CATEGORIES, INCLUDING ESTIMATED COSTS OF ACTIVITIES TO BE DEVOTED TO MINIMIZING OR PREVENTING ADVERSE EFFECTS ON THE SURROUNDING ENVIRONMENT DURING CONSTRUCTION AND/OR OPERATION OF THIS PROJECT.

LEGAL: _______________________ WATER SUPPLY: ________________________________________

SURVEYS:_____________________ LANDSCAPING:__________________________________________

ROADS: _______________________ EROSION/SEDIMENTATION CONTROL:____________________

WASTE DISPOSAL______________ OTHER:_________________________________________________

APPLICATION FEES:____________ PLANNER ESCROW: _____________________________________

TOTAL ESTIMATED COSTS: ___________________________________________

27. ATTACH A STATEMENT AS TO HOW YOU PLAN TO FINANCE THE PROJECT (FINANCIAL CAPACITY). IF THE COSTS INVOLVE MORE THAN NORMAL LEGAL FEES AND SURVEYING, PERSONAL OR CORPORATE STATEMENTS OR A SPECIFIC LETTER FROM A BANK OR OTHER RELIABLE FINANCIAL SOURCE (S) ARE REQUIRED.

To the best of my knowledge all the above stated information submitted in this application is true and correct.

_______________________________________ _____________________________________

Signature Applicant/Consultant Date

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