
Date received: __________
Owner ___________ Address :_______________
Builder: _______________________ Address: ________________
This work to be: ( )New Construction ( ) Addition ( ) Alteration ( ) Demolition ( ) Repair Damage ( ) Moving Structure
Short Description of work to be accomplished:
Estimated date of completion. _____ _
I, the undersigned, certify that I am the owner of the property herein described or the authorized agent of the owner, that I will conform to the Statutes of the State of Connecticut and the Ordinances of the Town of Guilford and the Sachem's Head Association insofar as they apply to the work herein described and that I will inform the Zoning Commission of any errors, omissions or changes in the information supplied with this application.
Signed Title:
Approved: Date: Fee _________ Paid ( )
Please provide additional information as stipulated in Section 10 of the Zoning Ordinance.
For some projects adjacent to the waterfront or tidal wetlands, a Coastal Area Management review may be required (see section 8 of the Ordinance). If a CAM is required, the mean high water line (3.4 NGVD) and high tide line (5.2 NGVD) must be shown on the site plan.