Middlebury Planning and Zoning Commission
Application for Approval of Sub Division.

This application cannot be filed or accepted unless it is complete and accompanied by all the requirements

___________                                    4 copies to be filed
Date

The undersigned applicant(s) hereby make(s) application for approval of __________ subdivision ______________ resubdivision Entitled: __________________________
                                                                         Name of subdivision/resubdivision

Location: _________________________
                  Road - street - Highway and Distance from crossroad

into _____ Lots; and submit herewith as parts of this application the following required documents:

  1. site development plan (Par. 2.2.3)
  2. Record Subdivision Map (Par 2.3.4)
  3. Construction Plans (Par. 2.3.5)
  4. Grading Plans (Par. 2.3.6)
  5. Certificate of Town Director of Health (Par. 2.3.7)
  6. Inland wetland Permit or Statement (Par. 2.3.9)
  7. Required Approvals of other Governmental Agencies as Follows: __________________
    (Par. 2.3.10)
  8. Soil Map (Par. 2.3.10)
  9. Additional Supporting Evidence (Par. 2.3.10) As follows: _______________________________________ _______________________________________
Land Owner of record: ______________________

Address: ________________________________

Developer: _______________________________

Address: ________________________________

 

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