Planning Board Application

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PAY THE PLANNING DEPARTMENT

Town Seal

Please use the form below to submit an application and make a payment to the Planning Department for a Planning Board Application.

YOUR INFORMATION

Application Type*

Applicant First Name*

Applicant Last Name*

Mailing Street Address*

City*

State*

Zip*

Phone Number*

###-###-####

Email Address*

A receipt will be sent to this email address

Date*

SCTM Number*

Builders Job Number

Planning Board Number

Comments

Survey Upload

Was This Part of a Split or Subdivision

Yes
No

PAYMENT INFORMATION

Payment Type*

Credit Card - Convenience Fee: 2.35% of purchase with a minimum of $1.50
ECheck – Convenience Fee: $0.75

Credit Card
e-Check

I acknowledge and understand that I will incur a convenience fee for this transaction as stated above*

Billing Street Address*

Billing Address Zip Code*

Transit Routing Number (ABA)*

View sample check depicting Transit Routing Number (ABA)

Account Number*

Account Type (S for savings or C for checking)*

S
C

I acknowledge that I will incur a convenience fee of $0.75.*

I acknowledge that if my e-check fails to clear from my bank for any reason, I will incur an administrative fee of $75, my application will be null and void and I will be required to reapply with the Town.*

Subtotal (includes 2.5% online discount):

Convenience Fee:

Total Cost:

Subtotal

Credit Card Convenience Fee

Total Cost

HID AVS

HID Transaction Type

Prove You Are a Human*

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