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:
  12. Application Fees in the Amount of $ _________ received by the Commission:
  13. Supporting Documents completed and Additional Fee received:

Please click here for a printable version of the application.