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Building Dept: Date Received _ _ __ OFFICE USE ONLY: Sketch Plan Meeting Date _ _ __ Complete App _ _ __ Village Clerk: REQUIRED MEETINGS/REFERRALS: Date Filed _ _ _ __ Amount$_ _ _ __ Receipt# _ _ _ __ Mtg/Mail Date Conditions/Comments, if applicable: Planning Commission Safety Committee VEADPW OTHER(specify} SEQR ACTION: _Type1 _Type2 )!_unlisted VILLAGE BOARD ACTION: Mtg/Mail Date Public Hearing Notices Mailed Posted Notice-VEA Hall Posted Notice-Prop Approval/Denial Date Attach Village Board resolution with noted conditions. CHECK LIST FOR SPECIAL USE PERMIT APPLICATION fa A cover letter to the Village Board with a narrative of all proposed uses and structures, including but not limited to: hours of operation, number of employees, maximum seat capacity and required number of parking spaces. fa A narrative report describing how the proposed use will satisfy the criteria set forth in the Special Use Permit review criteria of Chapter §285-52.4 (also listed below), as well as any other applicable requirements relating to the specific use proposed. ~ Will be generally consistent with the goals of the Village Comprehensive Plan . .f2il Will meet all relevant criteria set forth in Chapter §285-62.3 and §285-52.4. 0 Will be compatible with existing uses adjacent to and near the property. fil Will not create a hazard to health, safety or the general welfare of the public. ~ Will not alter the essential character of the neighborhood nor be detrimental to the neighborhood residents. ~ Will not be a nuisance to neighboring land uses in terms of the production of obnoxious or objectionable noise, dust, glare, odor, refuse, fumes, vibrations, unsightliness, contamination or other similar conditions. ~ Will not cause undue harm to, or destroy, existing sensitive natural features on the site or in the surrounding area or cause adverse environmental impacts such as significant erosion and/or sedimentation, slope destruction, flooding or ponding of water or degradation of water quality. ~ Will not destroy or adversely impact significant historic and/or cultural resource sites. ~ Will provide adequate landscaping, screening or buffering between adjacent uses which are incompatible with the proposed project. ~ Will not otherwise be detrimental to the public convenience and welfare. ~ All SEQR documentation, as required by New York State Law. Page 3 of 3