Official Township of Brick Website

TOWNSHIP OF BRICK

PLANNING BOARD

LAND DEVELOPMENT APPLICATION

ABRIDGED SITE PLAN

Application No:

Date of Submission:___________________ - ____________________ - ___________________

Month Day Year

Filing Fee $___________________________

Change of Use_______________________ Addition ___________________________

A. Applicant _______________________________________________________________

NAME

_______________________________________________________________

ADDRESS TELEPHONE LISTED ( ) UNLISTED ( )

_______________________________________________________________

CITY, STATE ZIP CODE

(If not owner, indicate interest)

Property Owner ___________________________________________________________

NAME

___________________________________________________________

ADDRESS TELEPHONE LISTED ( ) UNLISTED ( )

___________________________________________________________

CITY, STATE ZIP CODE

B. Previous Appeals or Activity

No_____________ Yes______________ If Yes, Date ________ - _______ - _________

i. Site Plan Case No: ____________ Date _________ - ________ - ________

Resolution No.: _______________________________________

ii. Exemption: Change of Use _____________________ Addition ___________

Date __________ - ____________- ____________

Objection _________________ No Objection_______________

C. Property Location: _________________________________________________________

STREET ADDRESS

_________________________________________________________

TAX MAP # BLOCK/S LOT/S

Zoning District_______________________________________

D. Description of Application:

________________________________________________________________________

1) Uses Existing Size Proposed Size

(All units)

______________ _______ ___________ _________

2) If any of the following uses are existing or proposed please provide the following:

Barber/Beauty Salon- No. of Employees________________________________

No. of Chairs ___________________________________

Restaurants, etc.- No. of Customer Seats ___________________________

No. of Employees _______________________________

Laundromats- No. of Washing Machines _________________________

Commercial Recreation – List number and type of machines, activities, tables, size of food court, etc.

3) Existing Number of Parking Spaces _______________________________________________

4) Addition Size Sq. Ft. __________________ No. of Stories ____________________________

5) Operating Hours Exiting ________________ Proposed _______________________________

E. Certificate of Taxes Paid to Date Attached _________________________________________

F. Material To Accompany Application:

1. Application Fee- $300.00 Escrow Fee: $300.00

2. Bureau of Fire Safety Review Fee- $75.00

3. For Change of Use Only- Affidavit of Service together with original certified list, certified

mail receipts, and copy of notice.

Completed W-9 Form.

G. Checklist:

(1) _________ Copy of Survey showing current site conditions or previously approved site

copy, it any.

(2) _________ Date of Plan, with any revisions, scale and north arrow.

(3) _________ Block and Lot Number.

(4) _________ Square footage of property.

(5) _________ Location and size of all existing and proposed structures.

(6) _________ Proposed floor plan.

(7) _________ Location and dimensions of all parking spaces.

(8) _________ Location and dimensions of all dimensions of all driveways and fire lanes.

(9) _________ Location of all existing and proposed signs.

(10) ________ Location of any easements of record.

(11) ________ Location and dimensions of all existing and proposed trash storage areas.

(12) ________ Existing and proposed landscaping.

(13) ________ Existing and proposed buffering.

H. Affidavit of Applicant:

State of New Jersey

County of Ocean

__________________ of full age being duly sworn according to law, on oath deposed and says, that all of the above statements and the statements contained in the paper submitted herewith are true.

Sworn and Subscribed to:

Before me this ____________day:

Of__________________, 20________:

_______________________________________

(Applicant to sign here)

H. Authorization of Property Owner:

(If anyone other than the above owner is making this application, the following authorization must be executed.)

To the approving Board of Township of Brick:

_____________________________is hereby authorization to make the within application.

Dated: ____________________ ________________________________________________

Owners Signature

Sworn and Subscribed to:

Before me this ___________________day:

Of ________________, 20__________________:

J. Address all correspondence concerning this application to:

( ) Applicant ( ) Owner ( ) Attorney

Name and Firm ______________________________________________________________

Address ____________________________________________________________________

TOWNSHIP OF BRICK, OCEAN COUNTY, NEW JERSEY

NOTICE FOR CHANGE OF USE

DATE:

TO: _________________________________________________________________

ADDRESS: ___________________________________________________________

You are hereby notifies that _____________________________________________ has made application for an abridged site plan to the Brick Township Planning Board.

TO: Change the Use of ____________________________________________

From: ____________________________to: ________________________________

____________________________________________________________________

covering property located at: _____________________________________________

________________________Township of Brick, New Jersey, also known as

Lot __________________________Block___________________________________

Notice is hereby given that the application and related documents are available for inspection between the hours of 9am and 4pm, Monday thru Friday at the office of the Secretary of said Planning Board at the Municipal Building.

Your comments regarding this application may be submitted is writing within 10 days of the date of this notice to:

Brick Township Planning Board

401 Chambers Bridge Road

Brick, NJ 08723

It should, however, be noted that any objections to a complying site cannot affect the decision of the Board.

Signed _______________________

_______________________