HomeMy WebLinkAbout20190117 Eberlein Subdivision Application . r IFQR QFFISE USE1
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APPLICATION FOR:
SUBOMSION AAPPROVAL (Rev:03/201
***Application Check List-All submissions must include completed applicati
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 . 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 Applicant Signature: Date:
If applicant is not current owner,owner must also sign.
Owner Signature: Date: