TOWN OF HYDE PARK
Application For Zoning Permit

Property Owner:______________________________________________

Physical Address:_____________________________________________

Applicant:___________________________________________________

Mailing Address:_____________________________________________

Telephone Number: Work:________________ Home: ______________

ZONING DISTRICT: RR 2____RR 5____Shoreland____Flood____Water Supply ____
N.Hyde Park Village____ Indus/Comm____ Garfield____ Consv10____ Consv27____

SEWAGE PERMIT: Yes___ No___ N/A___ ACCESS PERMIT: Yes___No___N/A__

DESCRIBE THE PROPOSED PROJECT:
________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Dimensions:
A) Acreage of Lot:__________________________________________________
B) Dimensions of Structure:__________________________________________
C) Setback from Centerline of Public Highway:___________________________
D) Setback from Nearest Property Line:_________________________________
E) Frontage on Public Highway:_______________________________________
F) Setback from Nearest Flooding Waterbody:__________N/A______________

** ALL questions MUST be completed in full, or application will be DENIED.**

PLOT PLAN: Please attach two copies of a plot plan in an appropriate scale. Include all structures, location of septic system, landscaping, driveways, parking areas, etc., existing and proposed. Show dimensions of these features and their distance from property lines and roads, and within Flood Hazard Areas – from the nearest flooding waterbody.

In addition, you must submit a list of all surrounding property owners with mailing addresses and a copy of the Hyde Park tax map containing your property and surrounding properties. (You may obtain this information at the Zoning or Town Clerk Offices.)

(OVER)
The undersigned hereby request a Zoning Permit for the land development described on the reverse side of this form. Any permit issued as a result of this application shall be null and void in the event of misrepresentation or failure to complete construction within two years of approval of this Zoning Permit. In order for a permit to issue, the Applicant must be in compliance with ALL Town Ordinances and Town Regulations.

____________________________ __________________________ ___________
Signature of Owner Signature of Applicant Date Submitted

For Use By Administrative Officer:

Upon the representations contained herein, this application is hereby:

APPROVED:__________ DENIED:__________

__________________________________________ _____________________
ADMINISTRATIVE OFFICER DATE