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HomeMy WebLinkAbout20190655 Safran Lot Line Adjustment Application [FOR OFFICE USEI 0G4 , CITY OF SARATOGA SPRINGS = (Application#) • • Q' 4.- PLANNING BOARD -140", (Date received) • City Hall-474 Broadway Saratoga Springs, New York I 2866 °6'1-DRATO Tel:518-587-3550 fax:518-580-9480 APPLICATION FOR: (Rev: 01/2019) LOT LINE ADJUSTMENT Submission Requirements: Please submit(check boxes): One(1) hard copy AND one(I)digital copy of the completed application and one(I)copy of the revised plat for review. If approved,the City will require the submission of two(2) mylars (one for City records and one for the applicant to file with Saratoga County Real Property Services)and two(2) paper copies of the approved revised plat. **HANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED** 1 Application Fee:Total $300 A check for the total amount made payable to: "Commissioner of Finance" MUST accompany this application. Part I: General Information Applicant* Surveyor/Engineer Name: Paul Safran&Carol Vischer-Safran,DVM Name: Dan Wheeler/Survey Associates Address: 50 Adams Road Address: 432 Broadway,Suite 5 Saratoga Springs,NY 12866 Saratoga Springs,NY 12866 Phone: 518-469-3537 Phone: 518-583-7302 E-mail: psafran@graffitis.com E-mail: surveydw©nycap.rr cam Property#I: Property#2: Tax Parcel #: 177.00-1-22.4 Tax Parcel #: 177.00-1-221 Address: 56 Adams Road,Saratoga Springs,NY 12866 Address: Adams Road,Rear,Saratoga Springs,NY 12866 Owner's Name: Paul Safran&Carol Vischer-Safran.DVM Owner's Name: Carol Vischer-Safran,DVM Phone: 518469-3537 Phone: 518-583-9976 Identify primary contact person: Vir typlicant weer FlAgent *An applicant must be the property owner, lessee, or one with an option to lease or purchase the property in question. (es P ° Will any additional lots be created? 1(es [ }Jo Will the newly configured lots meet all minimum zoning requirements? vi Yes Dlo Will the proposed lot line adjustment comply with the Zoning Ordinance and Subdivision Regulations? (es rklo Will the proposed lot line adjustment impede(existing or future) access or utility service to the lots? City of Saratoga Springs Lot Line Adjustment Application p. I of 2 Part II: Revised Final Plat and Documents Checklist 5revised Final Plat must provide the following in accordance with the following checklist. heet size: not to exceed 24"'x 36" orizontal scale: not to exceed I"=100' itle Block: Include existing subdivision name, identifying title, the words'City of Saratoga Springs,Saratoga �a nty, New York",submission date, names and addresses of applicants and/or property owners, engineers, planners, and eyors. ignature Block should read: "Approved under authority of the Chairman of the Planning Board of the City of Saratoga Springs per the Subdivision Regulations, Article V, 11 Chairperson Date Signed ❑ Site location map ❑ Location/type of property corners ❑ Zoning requirements, area and bulk schedule, setbacks O Tax map numbers O Names of all adjacent property owners O Location of all existing/proposed utilities: water, sanitary sewer, storm water O Location of all existing/proposed water and sewer services O Any existing/proposed easements O Any existing/proposed covenants O Existing boundaries/area O Proposed boundaries/area ❑ Seal and signature by licensed land surveyor Part III: Property Owner(s) Signature I, the undersigned, have thoroughly read and understand the Application for Lot Line Adjustment and the list of items to be shown on the Plats and Documents for Final Review and I consent to all the requirements as set forth in this application. To the best of my knowledge the information provided in this application and on the attached proposed plat and accompanying documentation is true and accurate. Property#I: Property#2: Printed Name: Paul Safran&Carol Vischer-Safran,DVM Printed Name: Carol Vischer-Safran,'2/4 �DVM Signature: �� f;!-__-.,._-,----...._ � Signature: 4i Date: 6-26-2019 Date: 6-26-2019 To be completed by City of Saratoga Springs ID Approved ❑ Not approved by Chair Reasons: Note: If the requested lot line adjustment is not approved by the Planning Board Chair as a minor amendment,the applicant may seek approval by appearing before the full Planning Board. Signature—Planning Board Chair Date City of Saratoga Springs Lot Line Adjustment Application p.2 of 2