Minor Land Division / Lot Split

Application for Administrative Approval. Fill in the application below, print it, sign it, and submit it to the Zoning Inspector.

MINOR LAND DIVISION / LOT SPLIT
JERSEY TOWNSHIP APPLICATION FOR ADMINISTRATIVE APPROVAL

DATE SUBMITTED

APPLICATION NUMBER

Applicant(s):

Phone Number:

E-mail Address:

Mailing Address: Street

City

State

Zip Code

Authorized Representative / Property Owner Signature(s):

Current Property Owner(s):

Parcel Address: Street

City

Zip Code

Parcel ID #:

Original Acreage:

Proposed Lot Split(s): Building Setbacks (if applicable)
Lot	Acreage	Frontage	Side	Rear
1)	1) Acreage	1) Frontage	1) Side	1) Rear
2)	2) Acreage	2) Frontage	2) Side	2) Rear
3)	3) Acreage	3) Frontage	3) Side	3) Rear
4)	4) Acreage	4) Frontage	4) Side	4) Rear
REMAINDER	REMAINDER Acreage	REMAINDER Frontage	REMAINDER Side	REMAINDER Rear

Variance Application: Yes □ No □ Variance Section Number(s): ____________________

Was the Variance Approved: Yes □ No □ Variance Application Number(s): ____________________

Date Approved (Attach approval letter): ____________________

Zoning Classification: ____________________

Building Setbacks (Minimum Requirements) Minimum Frontage: ________ Side: ________ Rear: ________

Minimum Acreage: ________

APPROVED □ DENIED □ CONDITIONAL □

Zoning Inspector Signature

Date

Zoning Inspector Printed Name

Comments:

Information typed on this page stays on your device. Nothing is sent to the township. The printout includes the Township Use Only section.