APPLICATION FOR CERTIFICATE OF ZONING COMPLIANCE
SITE PLAN, SPECIAL EXCEPTION OR SDA/PDD
ADDRESS OF PROPERTY_____________________________________________________
TAX MAP_____ BLOCK _____ LOT _____ ZONING DISTRICT______
PROPOSED USE_____________________________SCHEDULE A, LINE #_____________
SITE PLAN__________ SPECIAL EXCEPTION___________ SDA/PDD____________
PLEASE SUBMIT WITH COMPLETED APPLICATION:
The undersigned states that information submitted with this application is correct and acknowledges that any approval based on erroneous or incomplete information shall be null and void.
Owner______________________________ Applicant ________________________________
Address ____________________________ Address__________________________________
Phone ______________________________ Phone ___________________________________
E-mail______________________________ E-mail___________________________________
Signature ___________________________ Signature _______________________________
FOR OFFICE USE ONLY:
Receipt Date_________________________ Fee Paid________________________________
Approved/Denied By P& Z on ______________________Application #__________________
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