HomeMy WebLinkAbout20221039 Excelsior Ave SUP Extension Applicationp. 1 of 2
Property
Address/Location:_______________________________________________________________________
Tax Parcel #: _______________________________ Zoning District:_______________________________
(for example: 165.52-4-37)
Proposed
Use:_________________________________________________________________________________
Type of Special Use Permit:Permanent Modification
APPLICANT(S)*
Temporary
OWNER(S) (If not applicant) ATTORNEY/AGENT
Name
Address
Phone
Email
Identify primary contact person: Applicant Owner Agent
City of Saratoga Springs
Application for Special Use Permit
APPLICATION FOR:
SPECIAL USE PERMIT
HANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED!!
* An applicant must be the property owner, lessee, or one with an option to lease or purchase the property in
question.
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Please check the following to affirm information is included with submission.
Sketch Plan Attached:
Applicant is encouraged to submit sketch plans showing features of the site and /or neighborhood and illustrate
proposed use.
Environmental Assessment Form:
All applications must include a completed SEQR Short or Long Form. SEQR Forms can be completed at http://
www.dec.ny.gov/permits/6191.html.
Water Service Connection Agreement- For all projects including new water connections to the City system,
a copy of a signed water service connection fee agreement with the City Department of Public Works is
required and MUST be submitted with this application.
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CITY OF SARATOGA SPRINGS
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Special Use Permit 11/8/17
Approved: 5/13/21
Excelsior Avenue
166.-1-24, 166.-1-5.111, 166.-1-5.15, 166.25-1-32 Transect (T-4) & (T-5)
Mixed-Use Development, (Special Use Permit Extension)
563 North Broadway, Saratoga Springs, NY 12866
(518) 587 - 4113
jwitt@wittconstruction.com
Excelsior Park, LLC The LA Group, PC
40 Long Alley, Saratoga Springs, NY 12866
(518) 587 - 8100
dheller@thelagroup.com
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