Single Lot Form II
DPNR- DP Application — Form II FOR OFFICE USE Page lof 5 =, Date received: Date deemed complete: Reviewed by: DEPARTMENT OF PLANNING AND NATURAL RESOURCES DIVISION OF BUILDING PERMITS 45 MARS HILL, Frederiksted, St. Croix, VI 00840 Cyril E. King Airport, Charlotte Amalie, VI00801 PHONE: STX: (340) 773-1082, FAX: (340) 773-9310 ! STT: (340) 774-3320, FAX (840) 714-9549 Earth Change Permit Application Form II-Single Lot Note fo all applicants: A thirty day period shall apply to the review of an earth change plan by DPNR. The 30-day period shall begin with the date of reception indicated above. However, termination of the 30-day period shall not give inferred or automatic approval to the application (12 Vi Rules and Regs. §532-12). …
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DPNR- DP Application — Form II FOR OFFICE USE Page lof 5 =, Date received: Date deemed complete: Reviewed by: DEPARTMENT OF PLANNING AND NATURAL RESOURCES DIVISION OF BUILDING PERMITS 45 MARS HILL, Frederiksted, St. Croix, VI 00840 Cyril E. King Airport, Charlotte Amalie, VI00801 PHONE: STX: (340) 773-1082, FAX: (340) 773-9310 ! STT: (340) 774-3320, FAX (840) 714-9549 Earth Change Permit Application Form II-Single Lot Note fo all applicants: A thirty day period shall apply to the review of an earth change plan by DPNR. The 30-day period shall begin with the date of reception indicated above. However, termination of the 30-day period shall not give inferred or automatic approval to the application (12 Vi Rules and Regs. §532-12). SECTION A: PROJECT INFORMATION Owner(s) Name as listed on Deed: Submit Proof of Legal Interest: (Copy of Deed/Lease with Covenants & Restrictions or Purchase Agreement/Land Contract) Physical Address: Mailing address of owner: Telephone #: (H) (W) (Cell) Plot No: Estate: Acreage: Parcel Identification Number: Submit a copy of property tax bill or tax clearance letter (contact Tax Assessor’s Office: 773-6459 (C’ Sted), 772-3115 (F’Sted), 776-8505 (STT/STJ) for information.) Zoning: Name and telephone number of project designer, architect, engineer, or draftsman, (Site plan must be stamped by a certified licensed architect, draftsman or engineer. Name & Phone License Number: Name and telephone number of certified earthwork contractor. Seller’s name Address Date Dear Sir or Madam: I am the current owner of (property description, size and location). (Buyer’s name) has entered into a land contract with me for the purchase of said property. I hereby grant him/her permission to build on the property, provided that he/she acquire the necessary permits. This letter does not void any term or condition outlined in the land contract. If you have any questions, please contact me at (e-mail or telephone number). Sincerely, (Seller’s name) Notary Subscribed, sworn to and acknowledged before me by the said ; (seller’s name), this____ day of (month) (year). Notary Public My Commission Expires on: