Application to Amend the Zoning Regulations

Application to Amend the Zoning Regulations
- 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," "Traffic Analysis," etc.
- Please call the Department of Planning and Development at 860.429.3330 with any questions on how to complete the form.
General Information
Who is completing this application form?*

ApplicantAgent for Applicant
Project Name:*
Applicant Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Applicant Status Pursuant to Article 13, Section A of the Zoning Regulations (Check all that apply).*

Property OwnerMansfield Resident

Agent Information
Have any agents/representatives been authorized to act on behalf of the Applicant with regard to this application?*

YesNo
Please upload contact information (name, title, company, address, phone, email) for each person that may be directly contacted regarding the applications.

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Proposed Amendments
For each proposed amendment, please complete and upload the following information. Please group amendments by Article when completing this portion of the application.
Article and Section Number(s); for example, Article 10, Sections B.2 through B.6
Upload Article for proposed amendment

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Please describe the proposed amendments.*
Please upload the exact wording of the proposed amendments, preferably in a strike-through and underline format that includes the context of the overall section in which changes are proposed.

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Statement of Justification
Provide a Statement of Justification that:

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

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.
Please upload a dated Statement of Justification

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Submission Requirements
In addition to completion of this form and payment of the application fee, the following items are required for an application to be considered complete. Please contact the Department of Planning and Development at planzonedept@mansfieldct.gov.

In addition to digital (pdf) copies of all required documents, original signed and sealed copies shall be provided of all submissions. Additional copies may be required for certain documents as specified.

Please date all documents, including revision dates.
Reports or Other Information Supporting the Proposed Amendment(s)
Upload other documents in support of the proposed amendments

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Application Fee
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.
Fee Payment Options
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.

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

In completing and submitting this application, I certify that:
- I have been authorized by the Applicant identified in this application to act on their behalf.
- I understand that the subject application will not be considered complete until the Applicant completes and submits the Applicant Certification Statement, available at https://mansfield-planningdevelopment-mansfield-ct.app.transform.civicplus.com/forms/13772.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Application to Amend the Zoning Regulations

General Information

Applicant Information

Agent Information

Proposed Amendments

Statement of Justification

Submission Requirements

Reports or Other Information Supporting the Proposed Amendment(s)

Application Fee

Fee Payment Options

Agent Certification Statement