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20180432 18.031 153SouthBWay_app**HANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED** CITY OF SARATOGA SPRINGS PLANNING BOARD ill City Hall - 474 Broadway Saratoga Springs, New York 1 2866-2296 Tel: 518-587-3550 fax: 518-580-9480 http://www.saratoga-springs.org 'FOR OFFICE USE1 (Application #) (Date received) APPLICATION FOR: SITE PLAN REVIEW (INCLUDING PUD) (Rev: 03/2018) ***Application Check List - All submissions must include completed application check list and all required items. Project Name:153 South Broadway Redevelopment Property Address/Location:153 South Broadway Tax Parcel #: 178.27-1-22 thru 29 (for example: /65.52-4-37) Zoning District: T-5 Multi -family residential, eating and drinking establishment, retail, office, service establishment, convenience sales, medical offices, educational facilities Proposed Use: Date special use permit granted (if any):9-14-2017 Date zoning variance granted (if any): Is property located within (check all that apply)?: Name Ri 00' of a State Park, city boundary, or county/state highway istoric District if 4rchitectural Review District APPLICANT(S) OWNER(S) (lf not applicant) KCG Development: Stacy Kaplowitz Spa Diner, INC. Address 9333 N Meridian Street 28 Spa Dr. Phone Email ATTORNEY/AGENT The LA Group, P.C. 40 Long Alley Indianapolis, IN 46260 Saratoga Springs, NY 12866 Saratoga Springs, NY 12866 805-559-8606 518-587-8100 stacy.kaplowitz@kcgdevelopment.com Identify primary contact person: Applicant (Owner ,/ Agent mbrobston@thelagroup.com * An applicant must be the property owner, lessee, or one with an option to lease or purchase the property in question. City of Saratoga Springs- Site Plan Review Application 1 Application Fee: A check for the total amount below payable to: "Commissioner of Finance" MUST accompany this application. ❑ Sketch Plan - $300 $ El Final Site Plan Approval 20'100 Residential - $300 plus $180/unit $ Non -Residential - $600 plus $120/1,000 SQ. FT. $ 3,120 ❑ Modification Residential - $300 $ Non -Residential - $500 $ Total $ 23,220 Submission Deadline — Check City's website (www.saratoga-springs.org) for application deadlines and meeting dates. Does any City officer, employee or famil 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 t is application. 1, the undersigned owner, leasee or purchaser under contract for the property, hereby request Site Plan Review by the Planning Board for the identified property above. I agree to meet all requirements under Section 240-7.2 of the Zoning 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. Stacy Kaplowitz Digitally signed by Stacy Kaplowitz Applicant Signature: Date: 2018.05.08 15:46:09 -04'00' If applicant is not current owner, owner must also sign. Date: 5/8/18 Stacy Kaplowitz Digitally signed by Stacy Kaplowitz Date:5/8/1 8 Owner Signature: 2018.05.08 15:46:21 -04'00' Date: City of Saratoga Springs- Site Plan Review Application 2