Completed revised application form

T:\PLANNING.BRD\Document Library\PB-ZBA Application 3-15-18.doc 2/5 D. TYPE OF APPLICATION E. DESCRIPTION OF PROPERTY Indicate the type of application being submitted, check all boxes that apply. Note that more than one variance may be necessary, please indicate the number of each type needed: 1) Interpretation of ordinance or map. 2) Appeal of action of Zoning Officer. 3) shape of property physical features; exceptional situation. 4) . 5) . 6) Subdivision without variances: major; minor; preliminary; final; preliminary and final. 7) Subdivision with variances: major; minor; preliminary; final; preliminary and final. 8) 9) Amended Site Plan. 10) Conditional Use. 11) Conceptual. 12) Home Professional Office. 13) Home Occupation. 14) Soil Removal Permit. Please list the specific Sections of the Ordinance for which a variance is sought. If additional space is required, please attach a list. Section: ____________; Proposed: ____________; Description: ______________________________________ Section: ____________; Proposed: ____________; Description: _____________________________________ Section: ____________; Proposed: ____________; Description: _____________________________________ Section: ____________; Proposed: ____________; Description: _____________________________________ _ Existing Use of the Property Briefly describe the major elements of your proposal: (a more detailed description is required in Section G.) _______________________________________________________________ _____________________________________________________________________________ ____________ The property is _________________________ (square feet); __________________________________ (acres) Impervious Surface Coverage: Present: _______________________; Proposed: ______________________ Building Coverage: Present: _______________________; Proposed: ______________________ Is the property located: Within 200 feet of another municipality? Yes No Adjacent to an existing or proposed county road? Yes Adjacent to other county land? Yes No Adjacent to a state highway? Yes X No 18.87% 18.87% no change Proposal is to install a 1,248 square foot, three bedroom modular house for seasonal workers. See attached narrative statement Site Plan: preliminary; final; preliminary and final; with variances; without variances.x x Minor site plan Country Club/Golf course 146.7 acres 6.726% 6.76% no

rkers. See attached narrative statement Site Plan: preliminary; final; preliminary and final; with variances; without variances.x x Minor site plan Country Club/Golf course 146.7 acres 6.726% 6.76% no change X X NoX x D-1 use variance 25-24.2b.1c Residential Use Proposal is to install a 1,248 s.f. modular dwelling unit on the Crestmont Ccuntry Club property.