HomeMy Public PortalAboutForm B-Preliminary ApplicationRevised 05-2018 Preliminary Plan App Page 1 of 2
FORM B
APPLICATION FOR APPROVAL OF A PRELIMINARY PLAN
Please provide twelve (12) copies of the application along with ten (10) 11” x 17” sized plans and two (2)
24”x 36” sized plans. Please also provide an electronic copy of the application and plans in pdf format.
Date: Application # ________________________
Name of Applicant Phone
Address _________________________________________ Email ________________________
Owner, if different Phone ______
Address _ Email ________________________
Name of Surveyor/Engineer __ _ Phone ______
Company Name
Address __________________________________________ Email _________________________
Title of Plan _______________________________________ Date of Plan ____________________
Drawn by ____________________________________________________________________________
Assessor’s Map _____ Lot ____ Map ______ Lot _____
Deed of property recorded in Barnstable County Registry Book Page
Or Land Court Certificate of Title No . _________________________
Current number of lots_______________ Proposed number of lots____________________________
Location and description of Property ______
Zoning District ___________ Required Frontage ____________ Lot Area Required ________________
Brewster Planning Board
2198 Main Street
Brewster, MA 02631-1898
(508) 896-3701 x1133
brewplan@brewster-ma.gov
Date & Time Received
Town Clerk’s Office
Revised 05-2018 Preliminary Plan App Page 2 of 2
Please provide a one-page description of the proposal.
What relief if any will be requested from the Town of Brewster Subdivision Rules and Regulations, Chapter 290?
Please describe.
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Will relief be requested from the Zoning Board of Appeals? Please describe.
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
The undersigned herewith submits the accompanying Preliminary Plan of property located in the Town of Brewster
for approval as a subdivision as allowed under the Subdivision Control Law and the Rules & regulations governing
the subdivision of land of the Planning Board of the Town of Brewster.
Signature of Owner or Authorized Representative:
(If not Owner, please attach Agent Affidavit)