• Before starting this application, please be sure you have the required information and documents ready.
• Make sure that required documents are saved in pdf form and appropriately named. For example: "Statement of Justification," "Legal Description," "Map of Subject Property," etc.
• In addition to completion of this form (including uploading of pdf copies of required documents) and payment of the application fee, original signed and sealed copies of all submissions must be provided.
• Please date all documents, including revision dates.
• Please contact the Department of Planning and Development at planzonedept@mansfieldct.gov or 860.429.3330 with any questions.

Please provide name and contact information for each owner of property included in the application.

The undersigned applicant hereby petitions the Mansfield Planning and Zoning Commission to change the zone classification of the herein-after described property:

Provide a Statement of Justification that:

1. Addresses the approval considerations of Article 13, Section C of the Mansfield Zoning Regulations;

2. Substantiates the proposal’s compatibility with Mansfield’s Plan of Development;

3. Identifies the reasons for the proposed amendment (including any circumstances or changed conditions that justify the proposal and how the amendment would clarify or improve the Zoning Regulations); and

4. Describes the effect the change would have on the health, safety, welfare and property values of Mansfield residents.

A non-refundable application fee in the amount of $560 is required pursuant to Section 122-2 of the Mansfield Code of Ordinances. The fee includes a $60 land use fee required by the State of Connecticut.

Application fees are accepted as follows.

•  
  Check. A check payable to the Town of Mansfield can be paid in person at the Department of Planning and Development; left in the drop box at the eastern entrance to Town Hall in an envelope addressed to the Department of Planning and Development; or mailed to: Department of Planning and Development, 4 South Eagleville Road, Mansfield, CT 06268-2599
• Credit Card. Credit card payments are accepted in person in the Department of Planning and Development or over the telephone at 860.429.3330 during regular business hours.
• Cash. Cash in the amount due can be paid in person at the Department of Planning and Development.

To ensure ample opportunity for neighborhood opinion to be expressed, the applicant shall be responsible for notifying in writing all property-owners within 500 feet of the perimeter boundaries of the subject zone change area. Such notice, which shall be sent be certified mail at least 10 days prior to the date of the scheduled Public Hearing, shall include the Statement of Justification received by the Commission, a map showing the subject zone change area, the date and time of the scheduled Public Hearing and the fact that the subject plans are on file in the Mansfield Planning Office. Such notice shall also include a copy of Article 13, Sections D (Approval Considerations) and E (Adoption/ Protests). A copy of the applicant's notice to neighboring property-owners, a listing of the property- owners notified and return receipts from the certified mailings shall be filed in the Mansfield Planning Office at least five (5) days prior to the Public Hearing. If return receipts are unavailable prior to the Public Hearing, they shall be submitted at the Public Hearing.

 
A neighborhood notification form is available for your use.

In signing and submitting this application, I hereby certify the following:

• 
  I will provide the required neighborhood notification information to property owners within 500 feet by certified mail at least ten (10) days before the public hearing and will provide the required documentation of said notice to the Department of Planning and Development at least five (5) days prior to the opening of the public hearing.
• I will send the required notices (if applicable) to the Department of Public Health and applicable water company/water supply system within 7 days of Commission receipt of the application and provide documentation of said notice to the Department of Planning and Development at least five (5) days prior to the opening of the public hearing.
• I am familiar with the information contained in the application submissions and that such information is complete, true and correct to the best of my knowledge.
• I understand the penalties for obtaining a permit through deception or through inaccurate or misleading information.
• I understand that the subject application must comply with all applicable requirements of the Mansfield Zoning Regulations.
• I acknowledge that should the PZC determine that professional and/or technical assistance is needed for review of the application, the cost of such services shall be my responsibility pursuant to Chapter 122, Article V of the Mansfield Code of Ordinances. Furthermore, I understand that the consultants retained shall be selected by and report directly to the Planning and Zoning Commission and that no application review shall commence until the required deposit for such services has been provided. I further acknowledge that failure to pay the estimated cost of the review within five (5) days of notice from the Town may be used as justification to deny the application as incomplete.
• I understand that the subject application will not be considered completed until the Property Owner of record completes and submits the Property Owner Certification Statement.