REQUEST FOR ADDITIONAL INFORMATION

This publication is presented for "Classroom Use Only."  Its intended use is to stimulate and aid in discussion and role playing within a classroom setting.

TO:__________________ Date:________________

_____________________

_____________________

DEAR___________________:

Your application is incomplete and cannot be acted upon by the (Planning Board/ Board of Appeals) without additional information. Please supply the information requested by the items checked, either by written statement or map as appropriate:

1) Structures, uses, and lot standards

__a) Location, dimensions, elevation above annual high water, use, and number of rooms of any existing or proposed building or other structures.

__b) Location, dimensions, construction, and use of any existing or proposed shoreland structures including piers, docks, marinas and boat houses.

__c) Location and type of existing streets, roads, or driveways.

__d) Other

2) Facilities

__a) Type, make, location, and capacity of existing or proposed sewage disposal facilities.

__b) Location, type and capacity of existing or proposed water supply.

3) Land Characteristics

__a) Location and extent of flood plain, beach, marshy areas, and bogs.

__b) Soil types.

__c) Results of soil test.

__d) Slope of land area.

__e) Depth of ground water table and bedrock.

__f) Location, extent and method of any earth cuts, fills, grading, logooning, dredging, or alteration of existing patterns of water flow.

4) Shoreland vegetation

__a) Location and extent of timber and/or other shoreland vegetation, cutting and method of disposal of slash.

__b) Proposed landscaping and/or replacement of removed timber and/or other shoreland vegetation.

5) Other

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Chairman (Planning Board/ Board of Appeals)