Zoning Board of Appeals
Regular MeetingMount Vernon, NY · October 29, 2021
Agenda
City of Mount Vernon
Planning Board
Application Materials Checklist and Submission Review
Development Name: ____________________________________________________________
Application Type: New Amended Extension of Time
Location: ______________________________________________________________________
Map Page: _______________ Block: ________________ Lot(s): _________________________
Applicant Representative: _______________________________________________________
Mailing Address: ______________________________________________________________
Phone #: _______________ Fax #: ________________ E-Mail: _________________________
ITEM PROVIDED STAFF REVIEW
REQUIRED ITEMS (Applicant to Check) (Staff Use Only)
1. Planning Board Application Form Yes No Item Provided Not Required
Statement of Non-Provision
2. Plan Examiner’s Report Yes No Item Provided Not Required
Statement of Non-Provision
3. Information/Violation Search Form Yes No Item Provided Not Required
Statement of Non-Provision
4. Certificates of Occupancy Yes No Item Provided Not Required
Statement of Non-Provision
5. Environmental Assessment Form Yes No Item Provided Not Required
Statement of Non-Provision
6. Past Zoning Board Findings of Fact, Planning Board Yes No Item Provided Not Required
Statement of Non-Provision
Resolutions, Architectural Review Board Decisions, or City
Council Resolutions
7. Current Zoning Board Findings of Fact, Planning Board Yes No Item Provided Not Required
Statement of Non-Provision
Resolutions, or City Council Resolutions
8. Color Photographs Yes No Item Provided Not Required
Statement of Non-Provision
9. Survey or Plot Plan Yes No Item Provided Not Required
Statement of Non-Provision
10. Modified Survey Yes No Item Provided Not Required
Statement of Non-Provision
11. Site Plan Yes No Item Provided Not Required
Statement of Non-Provision
12. Floor Plans Yes No Item Provided Not Required
Statement of Non-Provision
13. Elevations Yes No Item Provided Not Required
Statement of Non-Provision
14. Fee Yes No Item Provided Not Required
Statement of Non-Provision
(Below to be complete by Staff only)
Reviewed by: _____________________________ Date: ________________
Application Number Assigned: _____________________________ r ev. January 2011
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