Rev February 4, 2011 Page 2 of 3
APPLICANT:
Name:
Address:
City: State: Zip:
Telephone:
PROPERTY OWNER (If applicant is not owner):
Name:
Address:
City: State: Zip:
Telephone:
AGENT OR CONSULTANT (if applicable):
Name: Title:
Address:
City: State: Zip:
Telephone:
ACTIVITY INFORMATION
1. The proposed use or activity-is one of the following permitted uses outlined in Section 4.1 of the Inland
Wetlands and Watercourses Regulations of the City of Danbury. Check the appropriate section(s):
A. Grazing, farming, nurseries, gardening, and harvesting of crops (Section 4.1A).
B. Farm pond five (5) acres or less essential to the farming operation (Section 4. 1A).
C. Construction of a residential home for which a building permit has been issued prior to July
1, 1987 (attach copy of valid building permit and site plan) (Section 4.1B).
D. Boat anchorage or mooring (Section 4. 1C).
E. Use incidental to the maintenance and enjoyment of property presently use for residential
purposes (containing a dwelling). Such property is equal to or smaller than the largest minimum
lot size as required by the City of Danbury Zoning, Regulations (Section 1.D).
F. Construction and operation by a water company or municipal water supply system of a dam,
reservoir or other facility necessary for the impounding, storage and withdrawal of water in
connection with public supplies (Section 4.1E).