HomeMy WebLinkAbout20260893 25 New St PUD Amendment Applicationp. 1 of 2 City of Saratoga Springs
Application for Zoning AmendmentRevised 1/2021
1. Name of Petitioner: ___________________________________________________________________
2. Type of Amendment (Map or Text):
Map Amendment:
Site Location: ________________________________
Tax Parcel #: _________________________________
Current Zoning: ______________________________
Proposed Zoning: _____________________________
Reason for amendment:
______________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________
Text Amendment:
Section to be amended: ____________________________________________________________
Proposed wording of text amendment (attach additional sheets if necessary):
__________________________________________________________________________________
__________________________________________________________________________________
_______________________________________________________________________________
Reason for
amendment:_______________________________________________________________________
_________________________________________________________________________________
3. Professional Representing Applicant (if any):
Name: ______________________________________________________
Phone: ______________________________________________________
Address: ____________________________________________________
Email: ______________________________________________________
Identify primary contact person: Applicant Owner Agent
4. 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.
Please check the following to affirm information is included with submission.
PETITION FOR: ZONING AMENDMENT
**HANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED**
CITY OF SARATOGA SPRINGS
CITY COUNCIL
CITY HALL - 474 BROADWAY
SARATOGA SPRINGS, NEW YORK 12866-2296
TEL: 518-587-3550 X2533
www.saratoga-springs.org
[FOR OFFICE USE]
_______________
(Application #)
____________
(Date received)
__________________________
(Project Title)
Check if PH Required
Staff Review _______________
City of Saratoga Springs p. 2 of 2
Application for Zoning Amendment
Environmental Assessment Form - All petitions must include a completed SEQR Short or Long Form.
SEQR forms can be completed at http://www.dec.ny.gov/permits/6191.html.
APPLICATION FEE (NON-REFUNDABLE)**: Make checks payable to the "Commissioner of Finance”.
**Refer to the current Fee Schedule for the Planning Department published on the city's website.
Submit 10 copies, and one electronic copy (PDF) of complete petition and all attachments.
Location map (Map Amendment): Submit (4) large scale 24” x 36”, and (10) 11”x17” copies.
All completed petitions are to be submitted to the Office of the Mayor for consideration.
I, the undersigned owner or purchaser under contract for the property, hereby request zoning amendment
approval by the City Council for the above petition. I agree to meet all requirements under Section 240-10.0 of
the Zoning Ordinance for the City of Saratoga Springs.
Furthermore, I hereby authorize members of the City Council, Planning Board and designated City staff to
enter the property associated with this petition for purposes of conducting any necessary site inspections
relating to this petition.
Applicant Signature: ______________________________________________Date:__________________
Name: ________________________________________________________ Phone:__________________
Address: ______________________________________________________ E-mail:__________________
_________________________________________________________
If applicant is not currently the owner, the owner must sign.
Owner Signature: _________________________________________________ Date:
___________________
Print Name: ______________________________________________________