HomeMy WebLinkAbout20210452 Southern Final Subdivision Amendment Application f FOR OFFICE USE1
**HANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED**
Kr t"1 •5�, (Application#)
CITY OF SARATOGA SPRINGS
PLANNING BOARD
J =: 4 CITY HALL-474 BROADWAY (Date received)
• "' i . SARATOGA SPRINGS,NEW YORK 12866-2296
Nr°RPORATED to°� TEL:518-587-3550 X2533
www.saratoga-springs.org (Project Title)
APPLICATION FOR: Check if PH Required
Fl
n PRELIMINARY,Q FINAL SUBDIVISION Staff Review
Property Address/Location: 131 Middle Avenue
Tax Parcel#: 166.46-3-5.2 Zoning District:U R-3
(for example: 165.52-4-37) LIRR/SR1 -Conservation Subdivision Checklist Required
Total Acres:0.0.243 ac Land to be Subdivided Into:2 Lots
APPLICANT(S)* OWNER(S)(If not applicant) ATTORNEY/AGENT
Name Kimberly & Michael Southern M. Elizabeth Careno, Esq.
Address 124 York Avenue Saratoga Springs NY 63 Putnam St,Suite 202 Saratoga Springs NY
Phone 857-231-3706
Email mksouth@verizon.net Iibby a@corenolaw.com
Identify primary contact person: 0 Applicant 0 Owner B Agent
*An applicant must be the property owner, lessee,or one with an option to lease or purchase the property in question.
Has a previous application been filed with PB for this property? NO Fl YES I aI
If YES, include Application TYPE Subdivision -and DATE:4/16/20
Does any City officer, Does any City officer,employee or family member thereof have a financial interest(as defined by
General Municipal Law Section 809) in this application? YES NO X . If YES, a statement disclosing the name,
residence, nature and extent of this interest must be filed with this application.
I,the undersigned owner or purchaser under contract for the property, hereby request Subdivision consideration by the
Planning Board for the identified property above. I agree to meet all requirements under the Subdivision Regulations for
the City of Saratoga Springs.
Furthermore, I hereby authorize members of the Planning Board and designated City staff to enter the property
associated with this application for purposes of conducting any necessary site inspections relating to this application.
Applicant Signature: Date:
If applicant is not current owner, owner must also sign.
Owner Signature: Date:
Application Fee: Make checks payable to the"Commissioner of Finance".
REFER TO THE CURRENT FEE WORKSHEET INCLUDED IN THIS DOCUMENT.
Revised 1/2021
Check City's website(www.saratoga-springs.orq)for meeting dates.