BOROUGH OF SHIP BOTTOM
SHIP BOTTOM, NEW
(609) 494-2171
LAND USE DEVELOPMENT APPLICATION
-TO BE COMPLETED BY BOROUGH STAFF ONLY-
|
Date
Filed____________________________
Docket No.____________________________ Application
Fees_______________________
Escrow Deposit_________________________ Scheduled
for: Review for Completeness___________________ Hearing_____________________ |
1. SUBJECT PROPERTY – TO BE COMPLETED BY
APPLICANT
Location:
Tax
Map: Page Block
Page Block
Dimensions: Frontage Depth Total
Area
Zoning
District:
2. APPLICANT
Name:
Address:
Telephone
No.: Home: Local:
Work: Fax:
Applicant
is a: Corporation Partnership
Individual
Other
(Please Specify)
Federal
ID Number/Social Security Number
3. DISCLOSURE
STATEMENT
Pursuant
to N.J.S.A. 40:55D-48.1, the names and address of all persons owning 10% of the
stock in a corporate applicant or 10% interest in any partnership applicant
must be disclosed. In accordance with
N.J.S.A. 40:55D-48.2, that disclosure requirement applies to any corporation or
partnership which owns more than 10% interest in the applicant followed up the
chain of ownership until the names and addresses of the non-corporate
stockholders and partners exceeding the 10% ownership criterion have been
disclosed (attach pages as necessary to fully comply).
Name Address Interest
Name Address Interest
4. If
Owner(s) is other than the applicant, provide the following information on the owner(s):
Owner’s
Name
Address
Telephone
No. Home:
Work:
Local:
Relationship
of the applicant to the property in question:
Owner Lessee Purchaser Under
Contract Other
5.
PROPERTY INFORMATION
Deed restrictions, covenants,
easements, rights of way, association bylaws or other dedication existing or
proposed on the property:
Yes (Attach copies) No.
Proposed
Note: All deed restrictions covenants, easement, rights of
way association bylaws, or other dedications existing and proposed must be
submitted for review.
Site Plan and/or conditional
use applicants:
Proposal for: New
structure Expanded area Alteration
Expansion of structure Change
of Use Sign
Other (Please specify)
Has this property been the
subject of any prior application(s) to the Planning Board or Zoning Board of
Adjustment? Yes No
If so, please attach the
date(s), the relief sought, the disposition of the case and a copy of the resolution(s).
Is the subject property
located on:
A county road: Yes No
; A State road: Yes No
;
Within 200 feet of a municipal boundary: Yes No
Present use of the premises:
6. Applicant’s Attorney
Address
Telephone
No. Fax No.
7.
Applicant’s
Engineer
Address
Telephone
No. Fax No.
8. Applicant’s Planning Consultant
Address
Telephone
No. Fax No.
9. Applicant’s Architect
Address
Telephone
No. Fax No.
10. List any other Expert who will submit a report or who will testify for the Applicant: (Attach additional sheets as may be necessary)
Name
Field of Expertise
Address
Telephone
No. Fax No.
11.
APPLICATION
REPRESENTS A REQUEST FOR THE FOLLOWING:
SUBDIVISION:
Minor
subdivision Approval
Subdivision
Approval (Preliminary)
Subdivision
Approval (Final)
Number of lots to be created Number of proposed dwelling units (If applicable)
Area and dimensions of each
proposed lot
SITE PLAN:
Minor Site
Plan Approval
Preliminary
Site Plan Approval [Phases (if applicable) ]
Final Site
Plan Approval [Phases
(if applicable) ]
Amendment or
Revision to an Approved Site Plan Area to be disturbed (square feet)
Total number of proposed
dwelling units
Request for
Waiver from Site Plan Review and Approval
Reason for request:
Informal
Review
Appeal
decision of an Administrative Officer [N.J.S.A. 40:55D-70a]
Map
or Ordinance Interpretation or Special Question [N.J.S.A. 40:55D-70b]
Variance
Relief (hardship) [N.J.S.A. 40:55D-70c(1)]
Variance
Relief (substantial benefit) [N.J.S.A. 40:55D-70c(2)]
Variance
Relief (use) [N.J.S.A. 40:55D-70d]
Conditional
Use Approval [N.J.S.A. 40:55D-67]
Direct
issuance of a permit for a structure in bed of a mapped street, public drainage
way, or flood control basin [N.J.S.A. 40:55D-34]
Direct
issuance of a permit for a lot lacking street frontage [N.J.S.A. 40:55D-35]
12.
Section(s)
of Ordinance from which a variance is requested:
13.
Waivers
Requested of Development Standards and/or Submission Requirements: [attach
additional pages as needed]
14.
Attach a
copy of the proposed Notice to appear in the official newspaper of the
municipality and to be mailed to the owners of all real property, as shown on
the current tax duplicate, located within the State and within 200 feet in all
directions of the property which is the subject of this application. The Notice must specify the sections of the
Ordinance from which relief is sought, if applicable.
The publication and the service on the
affected owners must be accomplished at least 10 days prior to the date
scheduled by the Administrative Officer for the hearing.
An affidavit of service on all property
owners and a proof of publication must be filed before the application will be
complete and hearing can proceed.
15.
Explain in
detail the exact nature of the application and the changes to be made at the
premises, including the proposed use of the premises: [attach pages as
needed]
16.
Is a public
water line available?
17.
Is public
sanitary sewer available?
18.
Does the
application propose any lighting?
19.
Have any
proposed new lots been reviewed with the Tax Assessor to determine appropriate
lot and block number?
20.
Are any
off-tract improvements required or proposed?
21.
Is the
subdivision to be filed by Deed or Plat?
22.
What form of
security does the applicant propose to proved as performance and maintenance guarantees?
23.
Other
approvals which may be required and date plans submitted:
Date Plans
Yes No Submitted
Ship
Bottom Fire Prevention Bureau
Ship
Bottom Water & Sewer Department
Ship
Bottom Public Works Department
Long
Beach Island Health Department
Ocean
County Soil Conservation District
NJ
Dept. of Environmental Protection
Sanitary
Sewer Connection Permit
Sewer
Extension Permit
Date Plans
Yes No Submitted
Waterfront
Development Permit
Wetlands
Permits
Tidal
Wetlands Permit
FEMA
NJ Department
of Transportation
Atlantic
Electric
NJ
Natural Gas
Other
Other
24.
Certification
from the Tax Collector that all taxes due on the subject property have been
paid.
25.
List of
Maps, Reports and other materials accompanying the application (attach
additional pages as required for complete listing).
The documentation must be received by
the Board Secretary at least twenty one [21] days prior to the meeting at which
the application is to be considered, or
as otherwise required in Section 16.80.010 of the Land Development Ordinance.
A list of the professional consultants is attached to the application
form.
Quantity Description
of Item
26.
The
Applicant hereby requests that copies of the reports of the professional staff
reviewing the application provided to the following of the applicant’s
professionals:
Specify
which reports are requested for each of the applicant’s professionals or
whether all reports should be submitted to the professional listed.
Applicant’s
Professional Reports Requested
Attorney
Engineer
CERTIFICATIONS
27. I certify that the foregoing statements and the materials submitted are true, and waive all applicable time limits until the first public hearing of this application. I further certify that I am the individual applicant or that I am an Officer of the Corporate applicant and that I am authorized to sign the application for the Corporation or that I am a general partner of the partnership applicant. [If the applicant is a corporation this must be signed by an authorized corporate officer. If the applicant is a partnership, this must be signed by a general partner].
DATE SIGNATURE
OF APPLICANT
DATE SIGNATURE
OF OWNER
28. I, the Developer/Applicant understand that a sum, to be determined by the Administrative Officer, will be deposited in an Escrow Account, in accordance with the Ordinances of the Borough of Ship Bottom. I further understand that the escrow account is established to cover the cost of professional services including engineering, planning, legal and/or other expenses associated with the review of submitted materials. Sums not utilized in the review process shall be returned. If additional sums are deemed necessary, I understand that I will be notified of the required additional amount and shall add that sum to the escrow account within fifteen (15) days. I, the Developer/Applicant, as signed below acknowledge familiarity with the procedures set forth in the Ship Bottom Borough Land Development Ordinance for submittals and required action and agree to be bound by it.
DATE SIGNATURE
OF OWNER OR APPLICANT
BOROUGH OF SHIP BOTTOM PROFESSIONAL CONSULTANTS
Engineer/Planner
Frank
J. Little, Jr., P.E., P.P. (732)
244-1090
Owen,
Little & Associates, Inc. Fax: (732) 341-3412
Planning Board Attorney
Stuart
Snyder, Esq. (609)
494-7676