__________________________________________________________

LANDOWNERS NAME, ADDRESS, & PHONE (if different): _________________________
______________________________________________________________________________
______________________________________________________________________________

NAME OF CONSULTANT(S), if used: ____________________________________________
______________________________________________________________________________

LOCATION OF PROPERTY: ____________________________________________________

ZONING DISTRICT:


TYPE OF SITE PLAN REVIEW:
____ Agricultural



(Choose one:)
____ Commercial



____ Minor Site Plan Review
____ Commercial/Industrial

____ Major Site Plan Review
____ Residential



(See Site Plan Review Regulations Article 5, B and C)


TAX MAP AND LOT NUMBER: ______________________


OWNER(S) SIGNATURE: ________________________________ DATE: ______________




________________________________ DATE: ______________

APPLICANT SIGNATURE: _______________________________ DATE: ______________


---------------------------------------FEE SCHEDULE--------------------------------------

Application Fee:

Site Plan Review: $50.00, includes building permit

Notification Fees:

Certified letters to Abutters and Owner: Current rate for U.S.P.S.

Newspaper Advertisement: $50.00 per meeting

Applicants shall be responsible for any additional expenses incurred in proper technical review
of site plan proposals including, but not limited to, engineering studies and legal review.

****NOTE: Fees shall be paid when application is submitted****
2


SUBMISSION REQUIREMENTS FOR MINOR SITE PLAN REVIEW:

In order to be considered at the next regular Planning Board meeting, all of the following
information must be submitted at least fifteen (15) days before the next regular Planning Board
meeting:

____ Name and address of Applicant(s).
____ Name and address of Abutter(s) not more than fifteen (15) days before filing.
____ Names and addresses of all holders of conservation, preservation, or agricultural
preservation restrictions as defined in RSA 477:45.
____ Copies of Variance or Special Exception approvals from Zoning Board of
Adjustment, if required.
____ A Building Permit application as required.

A Plan showing:

____ The footprint of all existing and proposed structures.
____ A sketch of the exterior changes to any facade, with type and color of materials to
be used.
____ The use of all structures within the development, showing all anticipated future
additions and alterations.
____ A parking plan showing the total number of spaces and the layout of the spaces.
____ A plan for exterior lighting.
____ Loading spaces and facilities.
____ All utilities, existing and proposed.
____ A proposed landscaping plan indicating plantings to be installed and natural cover
to be retained.
____ Proposed drainage systems, if applicable.
____ A sign plan, to include type, height and location as set forth in the Lancaster Zoning
Ordinance.

A Narrative including:
____ An estimated timetable for construction and completion of buildings;
____ A description of proposed use including all activities, hours of operation, shipments
in and out, food arrangements, and waste disposal;
____ The zoning designation and dimensional requirements applicable to the site;
____ A floor plan showing area of the building to be used for retail operations, office,
storage, etc;
____ A table showing maximum number of employees, and maximum seating capacity
where applicable;
____ All other data indicated by the Board as necessary to make an informed decision,
including: _________________________________________________________

__________________________________________________________________

3
SUBMISSION REQUIREMENTS FOR MAJOR SITE PLAN REVIEW:

In addition to the information required for minor site plan review, all of the following
information must be submitted at least fifteen (15) days before the next regular Planning Board
meeting:

____ The name and address of the plan preparer.
____ Name of the project, boundaries, locus map, date, north arrow, and scale of plan.
____ 22x34 sheets standard with a continuation on 8 ½x11 sheets as necessary.
____ A vicinity sketch showing the location of the site in relation to the surrounding
public street system.
____ Current valid certification and seal on a boundary survey by a land surveyor
licensed to practice in the State of New Hampshire.
____ Boundaries of the lot(s) including compass bearings, distances, lot areas, all
existing lot lines, easements, and rights of way.
____ Acreage or square feet.
____ Location and use of structures within 250 of the site.
____ Topographic contours at every 5 and elevation at every 10, before and after
construction.
____ The natural features such as streams, marshes, lakes or ponds; and man-made
features such as existing roads and structures. The plan shall indicate which of
these natural or man-made features will be removed, retained or altered.
____ Roads, streets and driveways within 200 of the site boundary. Proposed streets,
driveways and sidewalks, with indication of direction of travel and the inside radii
of all curves and the width of the traveled way of all streets, driveways and
sidewalks.
____ Curbs, fences, paths and walls will be shown.
____ Zoning district boundaries within 500 of the sites perimeter.
____ Elevations at a scale of ~ = 1 for all exterior facades of proposed structures
and/or existing facades, plus additions, indicating type and color of materials to be used.

A Narrative which includes:

____ An estimated timetable for construction and completion of buildings, parking
facilities, and landscaping.
____ A description of proposed use including all activities, hour of operation, shipments
in and out, food arrangements, waste disposal, and number of employees.
____ The zoning designation and dimensional requirements applicable to the site.
____ A floor plan showing area of the building to be used for retail operation, office,
storage, etc.;
____ A table showing maximum number of employees, and maximum seating capacity
where applicable;
____ Plans to prevent the pollution of surface or groundwater, erosion of soil both during
and after construction, excessive runoff, excessive raising or lowering of the water
table, and flooding of other properties as applicable.
____ All other data indicated by the Board as necessary to make an informed decision,
including: _________________________________________________________
__________________________________________________________________


4
ABUTTERS MAILING LIST


Abutter Means any person whose property is located in New Hampshire and adjoins
or is directly across the street or stream from the land under consideration by the Board. For the
purposes of receiving testimony only, and not for the purpose of notification, the term abutter
shall include any person who is able to demonstrate that his/her land will be directly affected by
the proposal under consideration.

Name: __________________
Address: ________________
________________________
________________________

Name: __________________
Address: ________________
________________________
________________________

Name: __________________
Address: ________________
________________________
________________________

Name: __________________
Address: ________________
________________________
________________________

Name: __________________
Address: ________________
________________________
________________________

Name: __________________
Address: ________________
________________________
________________________

Name: __________________
Address: ________________
________________________
________________________





Name: __________________
Address: ________________
________________________
________________________

Name: __________________
Address: ________________
________________________
________________________

Name: _________________
Address: ________________
________________________
________________________

Name: __________________
Address: ________________
________________________
________________________

Name: __________________
Address: ________________
________________________
________________________

Name: __________________
Address: ________________
________________________
________________________

Name: __________________
Address: ________________
________________________
________________________





Name: __________________
Address: ________________
________________________
________________________

Name: __________________
Address: ________________
________________________
________________________

Name: __________________
Address: ________________
________________________
________________________

Name: __________________
Address: ________________
________________________
________________________

Name: __________________
Address: ________________
____________________