Application for Approval of Subdivision Plan
Date: _________________

Note:
Applicant should be aware of all Zoning Regulations.
All Regulations must be met when applying.
Application can be rejected if all items are not addressed.

APPLICATION IS HEREBY MADE FOR THE
APPROVAL OF FINAL SUBDIVISION PLAN ENTITLED:

  1. Name & Address of Subdivider: _______________________________________

    Telephone: _______________________________________________________

  2. Name & Address of Owner of Record: __________________________________

    Telephone: ________________________________________________________

  3. Name & Address of Engineers and/or Land Surveyor:

    _________________________________________________________________

    Telephone: _________________________________________________________

  4. Location of Property: _________________________________________________

  5. Land Records: Volume ________________ Page ______________
    A copy of the property deed must accompany this application.

    Assessor's Plate No.: _________________ Lot No.: ____________

  6. Assessed Property Taxes:

    Current: ___________________

    Past Due: __________________

  7. Total Area of Proposed Subdivision: _________________________

    Number of Lots: ________________________________________

  8. Letter or Title of Consent if Owner of Record is not the Subdivider:

    _________________________________________________________________

  9. List of Abutting Property Owners' Names and Addresses:

    Signed: _________________________________________

    Address: ________________________________________

    Telephone: _______________________________________

  10. The applicant hereby consents to inspection of the site of the proposed activity at any reasonable time before or after the granting of a permit in accordance with Sec. 510 of the Prospect Zoning Regulations and Sec. 8-12 of the Connecticut State Statutes.

    The undersigned warrants the truth of all statements contained herein and all supporting documents according to the best of his knowledge and belief.

    Applicant's Signature: _______________________ Date: ____________

    Authorized Agent's Signature: _________________ Date: ____________

  11. This Form received by the Commission:

    __________________________________ Date: _________________

  12. Application Fees in the Amount of $ _________ received by the Commission:

    __________________________________ Date: _________________

  13. Supporting Documents completed and Additional Fee received:

    __________________________________ Date: _________________