Conditional Use Application "*" indicates required fields ApplicantApplicant Name First Last Applicant Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Telephone NumberFax Number Applicant's intrest Proposed use as defined in Borough of Oakmont Zoning Ordinance:Zoning District Total acreage Building area Property OwnerProperty Owner Name First Last Property Owner Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Telephone NumberFax Number Engineer / Architect / SurveyorName First Last Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Telephone NumberFax Number LocationLocation / Site Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Existing condition(s)/use(s)Exsiting use(s) Number of structures Number of current parking space(s) Number of current handicap spaces Number of current van accessible spaces Pervious/impervious lot coverage % List any variances, modifications, or waivers PREVIOUSLY GRANTED for site:List any modifications or waivers BEING REQUESTED for site:Comments/other informationRequired Information One (1) original Conditional Use application form completed by the Applicant. If the Developer is other than the Landowner, the Landowner’s authorization of the Developer to apply and nature of Developer’s interest in the site shall accompany the application. One (1) original Proposed Use Application Narrative Application form completed by the Applicant. If the Developer is other than the Landowner, the Landowner’s authorization of the Developer to apply and nature of Developer’s interest in the site shall accompany the application. Five (5) copies of the Conditional Use Site Plan, 24” x 36” in size and folded. Five (5) copies of an Environmental Impact Assessment detailing the impact of the proposed development on the natural and cultural environment. Five (5) copies of a Landscaping Plan, 24” x 36” in size and folded. Application fee and review fees established by ordinance or resolution of the Borough Council to cover the cost of review. Written response addressing compliance with each standard and criteria for Conditional Use as set forth in Article IV, Conditional Uses, of the Borough of Oakmont Zoning. Applicant, being duly sworn, says he/she is: The owner of the property in question. The authorized agent for the owner of record of the property for which the application is made. The owner’s signed and notarized authorization to his/her agent to act on owner’s behalf is required to be submitted. Has an equitable interest in the property as submitted and documentation is attached to this application? Applicant Type* Individual Applicant Partnership Applicant Corporate Applicant By electronically signing and submitting this form I certify that all information provided on and with this application is true and correct to the best of my knowledge or belief.* Yes Individual Applicant - Signature of Individual* Please type your full name above to serve as your electronic signature.Partnership Applicant - Signature of Individual* Please type your full name above to serve as your electronic signature.Corporate Applicant - Signature of Individual* Please type your full name above to serve as your electronic signature.
