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FOR OFFICE SE
CITY OF SARATOGA SPRINGS
A I - (Application 0)
PLANNING BOARD
SARATOGA SPRINGS, NEW YORK 12866-2296
CITY HALL - 474 BROADWAY
7-,, (Date received)
TEL: 518-587-3550 X2533
www. saraloga-springs. org
Project Title)
APPLICATION FOR: Check if PH Required
SPECIAL USE PERMIT
Staff Review
Property 20 Lake Avenue
Address/Location.
Tax Parcel #: 165.60-1-78 Zoning District: UC-16
for example: 165.52-4-37)
Use- 'One Da Events Pridefest 611/24, Oktoberfest 9/29/24 In Designated OutsiUse: Y 9 e—
C(-Y Q CL_
Type of Special Use Permit: Permanent Temporary
APPLICANT(S)'
Name Kathy Crager
OWNER(S) (If not applicant)
Frank Parillo
Address 15 Stratton St Saratoga 215 Ballard Rd Wilto
Phone (631)766-4397
Email kathy@waltandwhitman
I ,
Identify primary contact person: B Applicant
518)744-1616
fparillo@16saratoga
Owner Agent
Modification
ATTORNEWAGENT
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 II h P fo tr}}'s r pp NO YE
If YES, include Application TYPE IH"Nr and DATE. 10 0
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 AssessmRnt Form. -
All applications must inckide a completed SEQR Short or Long Form. SEQR Forms can be completed at http://
www.dec.ny.gov/per,~7.(si6l9l.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.
Revised 8/2022
City of Saratoga Springs p.iof2
Application for Special Use Permit
REQUIRED ITEMS, '4 hard copies (1 w(onginal signature), 1 digital PDF copy of ALL materials and Fee
Application Fee: Make checks payable to the "Commissioner of Finance".
REFER TO THE CURRENT FEE WORKSHEET INCLUDED IN THIS DOCUMENT.
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, leasee or purchaser under contract for the property, hereby request Special Use
Permit approval by the Planning Board for the identified property above. I agree to meet all requirements
under Article 13 of the Unified Development Ordinance of 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: A-) Date: J 2 (2L2-4
If applicant is n
Owner Signatur:
U
Date
Check City's website (www.saratoga-springs.org) for meeting dates.
City of Saratoga Springs
Application for Special Use Permit
p. 2 of 2
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