BUILDING/ENGINEERING/ ZONING/WETLANDS
ROUTING SHEET
ADDRESS OF PROPERTY_____________________________________________________
TAX MAP_____ BLOCK _____ LOT _____ SIZE OF LOT_________________in sq. ft.
PROPOSED WORK____________________________________________________________
CURRENT USE: (Circle all that apply.) Single family, 2-family, Multi-family (# of units)___, Commercial, Industrial
Will the property be served by sewers? Yes___ No___ By septic system? Yes___ No___
Is any part of the property within:
100 feet of an Inland Wetland or Water Course? Yes____ No____
FEMA Flood Zone? Yes____ No____
CT Coastal Management Act Coastal Boundary? Yes____ No____
Town Center Review Area? Yes____ No____
Water Supply Watershed? Yes____ No____
500 feet of an adjoining town? Yes____ No____
Does property abut a State Highway? Yes_____ No_____
APPLICANT:________________________________ DATE:________(Please print or type.)
FOR OFFICE USE ONLY
| Route to: | Date Referred: | Comments (date returned) |
|---|---|---|
| ___Wetlands Officer | ___________ | ______________________________ |
| ___Engineering Department |
||
| flood/sewer/driveway/grading | ___________ | ______________________________ |
| ___East Shore District Health Dept. | ___________ | ______________________________ |
| ___Town Center Review Board | ___________ | ______________________________ |
| ___So. Central Regional COG | ___________ | ______________________________ |
| ___DEP Coastal | ___________ | ______________________________ |
| ___Regional Water Authority | ___________ | ______________________________ |
| ___Town Clerk of Guilfd./ E. Haven/ No.Bfd. |
___________ |
______________________________ |
| ___CT DOT | ___________ | ______________________________ |
PLANNING AND ZONING COMMISSION
TOWN OF BRANFORD
1019 Main Street
P.O. Box 150
Branford, CT 06405
Telephone: 203-488-1255
FAX: 203-481-5561