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Master Application Form Updated November 2017 Page 1 of 2 MASTER APPLICATION: USE THIS FORM FOR ALL DEVELOPMENT APPLICATIONS Part 1. APPLICATION FOR (Please check all application forms being submitted with this Master Application Form) ☐ Development Plan Review ☐ Design Review of Tall Buildings ☐ Amendment to Zoning Map or USDO Text ☐ Administrative Adjustment ☐ District Plan ☐ Area Variance ☐ Lot Line Adjustment ☐ Conditional Use Permit ☐ Use Variance ☐ Lot Consolidation ☐ Demolition Review ☐ Floodplain Variance ☐ Subdivision of Land ☐ Certificate of Appropriateness ☐ Historic Property Hardship Modification Part 2. Brief Description of Proposed Project / Activity Part 3. Property Information Project Name (if applicable): Project Address: Tax Identification No.: Lot Size (sq. ft.): Zoning District: Abutting Zone Districts(s): Part 4. Property Owner Information Property Owner(s) Name(s): Mailing Address: Phone No.: E-mail: Part 5. Applicant Information (if different than property owner) Applicant Name: Mailing Address: Phone No: E-mail: Part 6. Project Engineer Information (if applicable) Company Name: Engineer Name: License No.: Mailing Address: Phone No.: E-mail: Part 7. Project Architect Information (if applicable) Company Name: Architect Name: License No.: Mailing Address: Phone No.: E-mail: Part 8. Authorized Agent for this Application Authorized Agent Name: Mailing Address: Phone No.: E-mail: Part 5. Property Owner Consent (Check the box below that applies to this application and sign in the space indicated below) ☐ I am the Owner and have no other agent or representative authorized to represent me in this and other corresponding applications subject to review under the USDO. I understand the application must be complete and accurate prior to a hearing being scheduled, if required, or a decision being made. I grant the City of Albany Department of Planning and Development permission to access the property for inspection. ☐ I hereby authorize the above listed Applicant and/or Agent to represent me in this and other corresponding applications subject to review under the USDO. I understand the application must be complete and accurate prior to a hearing being scheduled, if require, or a decision being made. I grant the City of Albany Department of Planning and Development permission to access the property for inspection. Print Owner Name(s): Owner(s) Signature: Date: FOR STAFF USE ONLY Date Submitted: Project N E W Y O R K C I T Y O F A L B A N Y DEPARTMENT OF PLANNING AND DEVELOPMENT 200 HENRY JOHNSON BOULEVARD I ALBANY, NEW YORK 12210 SIGN SIGN