GOVERNMENT OF THE UNITED STATES VIRGIN ISLANDS
GOVERNMENT OF THE UNITED STATES VIRGIN ISLANDS 0------ DEPARTMENT OF PLANNING AND NATURAL RESOURCES Division of Coastal Zone Management No. 45 Estate Mars Hill, Frederiksted 8100 Lindberg Bay, Ste #61, C.E.K. Airport St. Croix, US Virgin Islands 00840-4477 St. Thomas, US Virgin Islands 00802 Tel: (340) 773-1082; Fax: (340) 773-3343 Tel: (340) 774-3320; Fax: (340) 714-9524 REQUEST FOR REPAIR AND/OR MAINTENANCE WAIVER The following request is hereby submitted for a waiver of the permit requirement pursuant to 12 VIC § 910(b)(1) of the VI Coastal Zone Management (CZM) Act. 1. Name, mailing address, email address and telephone number of Applicant (all required) 2. Name, mailing address, email address and telephone number of the Property Owner (if not Applicant) 3. Location of activity. Plot No(s). Estate Island 4. Summary of proposed activity. Include the scope of all repairs to be undertaken such as roof, walls, decking, etc. (Use additional sheets if necessary). 5. …
Download the original document · Plain text (TXT) · Browse the archive · How this archive works
Original source: https://dpnr.vi.gov/wp-content/uploads/2022/11/repairmaintenanceFillable.pdf
SHA-256 08093b1190ca716561fad320dde231525d92229a20fc31d421eb2de60977760e
Re-using this document
A public record of the Government of the Virgin Islands, published by the agency itself. No copyright is asserted on it and 17 U.S.C. § 105 does not reach territorial government, so it publishes as a territorial public record.
Our description, tagging, arrangement, extracted text and machine transcripts are released under CC0 1.0. We assert nothing about the document itself.
Archive identifier LF-08093b1190ca
Document text
GOVERNMENT OF THE UNITED STATES VIRGIN ISLANDS 0------ DEPARTMENT OF PLANNING AND NATURAL RESOURCES Division of Coastal Zone Management No. 45 Estate Mars Hill, Frederiksted 8100 Lindberg Bay, Ste #61, C.E.K. Airport St. Croix, US Virgin Islands 00840-4477 St. Thomas, US Virgin Islands 00802 Tel: (340) 773-1082; Fax: (340) 773-3343 Tel: (340) 774-3320; Fax: (340) 714-9524 REQUEST FOR REPAIR AND/OR MAINTENANCE WAIVER The following request is hereby submitted for a waiver of the permit requirement pursuant to 12 VIC § 910(b)(1) of the VI Coastal Zone Management (CZM) Act. 1. Name, mailing address, email address and telephone number of Applicant (all required) 2. Name, mailing address, email address and telephone number of the Property Owner (if not Applicant) 3. Location of activity. Plot No(s). Estate Island 4. Summary of proposed activity. Include the scope of all repairs to be undertaken such as roof, walls, decking, etc. (Use additional sheets if necessary). 5. Please include the following required documents with your application: a) Proof of legal interest (deed, tax bill, lease, etc.) b) Required supporting schematics (drawings, photos, etc.) to be satisfied by Inspector’s request c) Location Map In submitting such request I certify that the development activities are related to the repair/maintenance of an existing structure and will not result in an addition to, or enlargement or expansion, of the existing structure. I agree to provide entry to the project site for inspectors from the environmental protection agencies for the purpose of making inspections regarding this request and that to the best of my knowledge and belief, that such information provided herein, is true, complete and accurate. I further certify that I possess the authority to undertake the proposed activities. Signature of Applicant Date Signature of Owner Date Print Print SIGN SIGN FOR DEPARTMENT USE ONLY Your request for the waiver of the permit requirement has Inspector Date been deemed consistent / inconsistent with 12 VIC § 910(b)(1) of the VI CZM Act. Commissioner Date SPECIAL CONDITIONS: