Crescent beach association zoning permit application p. O. Box 424 niantic, C


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CRESCENT BEACH ASSOCIATION 

ZONING PERMIT APPLICATION 

P.O.BOX 424 

NIANTIC, CT. 06357 

 

Zoning Permit No: _____________                                         Date of Application:____________  



Job Location:___________________________________________________________________ 

Description of Work to be Performed:_______________________________________________ 

______________________________________________________________________________ 

Property Owner’s Name:_________________________________________________________ 

Property Owner’s Address _______________________________________________________ 

Property Owner’s Phone # ____________________________Email ______________________ 

Contractor’s Name______________________________________________________________ 

Contractor’s CT License _________________________________________________________

                                             

Contractor’s Mailing Address:____________________________________________________ 

Contractor’s Phone/Cell Phone ____________________________________________________ 

Work Information: 

Construction Type _______________________ Number of Stories (Ht)___________________ 

 

A-2 Survey Submitted_____________________Sketch/Map of Location__________________ 



 

Property Size (sq. ft.)_____________________ Percent Total Property Use (sq. ft.)________ 

 

Coastal Flood Plain:______________________ Municipal Water/Sewer ________________ 



 

 

Certification:

 

I hereby certify that I am the owner of record of the named property and that the proposed work is 



authorized by me, and that the contractor stated above and I agree to conform to all applicable laws, regulations and Crescent 

Beach Association ordinances, building/zoning regulations. All information contained within is true and accurate to the best of 

my knowledge and belief. 

Printed name of Owner:_____________________________Phone Number:_______________________ 

Owner Address: ____________________________________Email Address:______________________ 

Owner Signature:_____________________________________________________________________ 

 

Estimated Value/Cost of Work ____________________  Permit Fee:____________________________ 



(CBA  Zoning  Permit  Fee  is  $25.oo  for  first  $1,000  plus  $5.oo  for  every  $1,000.oo  or  portion  of  thereafter.  Make  checks  payable  to 

Crescent Beach Association)

   


Prior to completing application, the owner/applicant should obtain a copy of the Crescent Beach 

Association – Ordinances and Regulations – Zoning, effective August 7, 2006. These can be sent 

upon request free for internet  or printed copy @ $10.00. Request by emailing to 

CBAZEO@yahoo.com

.. Mail request for printed copyalong with $10.00 check, payable to 

Crescent Beach Association Treasurer, to CBA Zoning Regulations, P.O. Box 424, Niantic, 

CT. 06357 

 DO NOT WRITE BELOW THIS LINE *****Zoning Enforcement Use Only 

 

Date Received : _________________________________________________   

Approved:______________________________________________________ 

If rejected, reason 

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________ 

 

CBA Zoning Enforcement Officer _________________________________________________ 



Date: ________________________________________________________________________ 

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