ANNE ARUNDEL COUNTY, MARYLAND
DEVELOPMENT APPLICATION
Team: ______S# ______
Submittal Date: ______P# ______
C# ______
Pre/Post Community Meeting Date: ______
Meeting Location: ______Fee: ______
Adequacy of Public Facilities (APF) to be reviewed during: Sketch ___ Final ___ Preliminary ___ Site Development ____
Subdivision Name: ______
Former Name: ______
Location: N E S W side of ______approx. ______feet from the N E S W
Side of ______(nearest intersecting road). City:______
Tax Map (s) ______Block (s) ______Parcel (s) ______
Tax Account # ______Parcel # ______
Tax Account # ______Parcel # ______
Tax Account # ______Parcel # ______
P&Z 200' scale map ______600' scale ______1000' scale ______
ADC Map ______/______Census ______Age Restricted: ____Y ___N
Assessment District ______Councilmanic District ______Zoning: ______
______
Water Service Area Page # Category Total # EDU's
______
Sewer Service Area Page # Category Total # EDU's
Individual Well: Y N Individual Septic: Y N
FIRM Map # ______Zone ______Elevation ______
Airport Zone: Y N Noise: Y N Flight Path: Y N
Critical Area: Y N IDA ______acres LDA ______acres RCA ______acres
Wetlands: Y N Tidal Non-Tidal (circle one, if applicable)
Floodplain: Y N Coastal Non-Tidal (circle one, if applicable)
Bogs: Y N 100' Buffer: Y N 300' Buffer: Y N CDA Area: Y N
Steep Slopes: 15%: Y N 25%: Y N
Building Permit # ______Grading Permit # ______
Project Type: (check all that apply)
Residential: ____ Single Family Detached ____ Condominium ____ Townhouses ____ Multi-Family
____ Duplex ____ Semi-Detached ____ Rentals ____ PUD
____ Mixed Use ____ Cluster ____ Other (specify ______)
Commercial: ____ Commercial ____ Industrial ____ Town Center ____ Mobile Home Park
____ Mixed Use ____ Multi Use ____ Revitalization Area
____ Other (specify ______)
# of Existing Lots ______# of Proposed Lots ______
# of Existing Buildings ______# of Proposed Buildings ______
Existing Sq Ft of Buildings ______Proposed Sq Ft of Buildings ______
# of Parking Spaces ______# of Loading Spaces ______
Total Sq Ft of Site ______Total Acreage of Site ______
Variance Case # ______
Special Exception Case # ______
Rezoning Case # ______
Board of Appeals Case # ______
Non Conforming Use Case # ______
Modifications: New Request? Y N
Modification # (s) ______
Watershed ______
______
Owners Name Owners Name
______
Address Address
______
City State Zip City State Zip
______
Phone Phone
______
Fax Fax
______
Developer/Contract Purchaser Name Consultant / Engineering Firm Name
______
Address Address
______
City State Zip City State Zip
______
Phone Phone
______
Fax Fax
______
E-Mail Address E-Mail Address
I/We certify that all of the information supplied with this submittal is complete and accurate.
______
Engineer/Land Surveyor/Developer/Owner
Revised 9/2009
Shared/PAC/~Subdivision forms - ^Development Application