HomeMy WebLinkAbout20260090 Lexington Rd & Bemis Heights Rd Watercourse/Wetlands Permit ApplicationProperty Address/Location: ________________________________________________________________________
Tax Parcel #: ____________________________________________________________________________________
(for example: 165.52-4-37)
Zoning District: _________________________ Proposed Use: ____________________________________________
Date of any existing Land Use Board approvals (if any): _________________________________________________
APPLICANT(S)* OWNER(S) (If not applicant) ATTORNEY/AGENT
Name
Address
Phone
Email
Identify primary contact person: Applicant Owner Agent
* An applicant must be the property owner, lessee, or one with an option to lease or purchase the property in question.
Please check the following to affirm information is included with submission.
Environmental Assessment Form:
All applications must include a completed SEQR Short or Long Form unless the project has already been given a
“Negative Declaration” SEQR Forms can be completed at http://www.dec.ny.gov/permits/6191.html.
Application Fee: Make checks payable to the "Commissioner of Finance”.
REFER TO THE CURRENT FEE WORKSHEET INCLUDED IN THIS DOCUMENT.
2 hard copies (*1 signed original) and one electronic copy (PDF) of ALL documents.
Plans: (2) copies: 24”x36”.
Check City’s website (www.saratoga-springs.org) for meeting dates.
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.
Revised 8/2022
HANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED!!
CITY OF SARATOGA SPRINGS
PLANNING BOARD
CITY HALL - 474 BROADWAY
SARATOGA SPRINGS, NEW YORK 12866-2296
TEL: 518-587-3550 X2533
www.saratoga-springs.org
APPLICATION FOR:
WATERCOURSE/WETLAND PERMIT
[FOR OFFICE USE]
_______________
(Application #)
____________
(Date received)
__________________________
(Project Title)
Staff Review _______________
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