2019.04.18_Application_Draft Site Plan Review
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SITE PLAN REVIEW
DARTMOUTH
PLANNING BOARD
400 Slocum Road
Dartmouth, MA 02747
(508) 910-1816
TIME STAMP HERE
SITE PLAN REVIEW APPLICATION
(Please Print or Type)
Date: ________________________
Applicant’s Name: ________________________________ Phone No.:__________________
Applicant’s Address: ___________________________________________________________
Property Owner Name: ______________________________________________
(if different than applicant)
Address: ____________________________________________
Contact Person : ________________________________ Phone No.:___________________
(if questions regarding plan)
Email: _________________________________________
Title of Plan: _________________________________________________________________
Plan Dated: ________________________
Location of Subject Property:_____________________________________________________
____________________________________________________________________________
Assessor’s Map/Lot(s): _________________________________________________________
All Applicable Zoning Districts: ___________________________________________________
Proposed Uses: ______________________________________________________________
Total Lot Area: ________________ Total Frontage: ___________________
Site Plan Review
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Existing Structure (s) ______________ s.f.
Proposed Structures (s) ______________s.f.
Total # of Parking Spaces Required: ____________
TOTAL # of Parking Spaces Proposed: ____________
__________________________________________________________________________________
Attach a list of variances requested, if any, from Section 16 – Site Plan Review
(Variances will require relief from the Zoning Board of Appeals)
Special Permit Application/Fees pursuant to Section 16, if applicable, shall be submitted
in conjunction with this Site Plan Review application
SITE PLAN REVIEW SUBMITTAL CHECKLIST
□ Application Form (2x) – Please note both copies must be originals, 1 copy for Planning and 1 copy for Town Clerk
□ Application Fee is $450 + $5.00 per parking and loading space. Check made out to the Town of Dartmouth. The cost for an outside consultant review shall be
borne by the Applicant
□ Receipt from Town Collector that there are no tax issues with the subject parcel(s)
□ Two (2) full-sized sets of plans and Seven (7) 11” x 17” copies conforming to the applicable contents of Section 16. (2) full-sized sets after approval
□ Electronic set of plans forwarded to Planning Director
(CAD & PDF)
□ Drainage Plan/Calculations, if applicable
□ Landscaping Plan
□ Lighting Plan
□ Traffic study, if applicable
□ Architectural Plan
Site Plan Review
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I have read Section 16, the Site Plan Review Regulations of the Dartmouth Zoning bylaws, and I
am submitting this application with accompanying plans as required. Except for the attached list
of variances (if any), it is my belief that the plans comply with Section 16. I have notified tenants
and parties (if any) who have an interest in or are affected by the proposed plan.
I have also diligently researched the property, including walking the property, to determine
whether any burial grounds or human skeletal remains are located on or near the proposed lot.
To the best of my knowledge and belief, no burial grounds or human remains, except those
shown on the plan, lie on the proposed lot or would be affected by the proposed plan. The
Town will rely upon this statement in determining whether to issue permits. A false or mistaken
statement will be grounds for denying permits and, if issued, for revoking it.
Applicant’s Signature: _____________________________ Print Name: _______________________
Owner’s Signature: ________________________________ Print Name: _______________________
(if other than applicant)