Name of Development: _______________________________________________________________

Name of Developer: __________________________________________________________________

Mailing Address: _____________________________________________________________________

____________________________________________________________________________________

Telephone Number: _________________________________________________________________

THE FOLLOWING INFORMATION MUST BE PROVIDED IN ORDER TO PROCESS YOUR
APPLICATION:

Description of property: ______________________________________________________________

Current Buffer Strip Use Permit site # (if applicable): ________________________________________

Subdivision of Section of Lake: _________________________________________________________

Lot number(s) or parcel to be developed: _________________________________________________

Number of Lots in development: ______________________________________________________

Number of dwellings to be constructed in the development: _________________________________

Number of people estimated to use the lake frontage associated with this property: ________________

Does this development include a condominium regime? ___________________________________

Does the property front on state property (buffer strip)? Yes ____________ No ___________

If yes, what is the footage on the state property line: _______________________________________

Will this development include deeded access to back lots in the development/subdivision?

Yes________ No_________

Will this development include a common use area for use by these back lots?

Yes________ No_________

How many Buffer Strip Use Permits will you be requesting in the future for this development?

INDIVIDUAL TYPE-A _____ COMMON DOCK SLIPS ______ MOORING BUOYS _______

Are there any commercial uses associated with this development or its use of the buffer strip?
Yes _______ No ______

Does this proposed development conform to the Deep Creek Lake zoning ordinance? ___________

In order to process your application, all of the following information must be
provided at the time of application:

Fully describe how you and future property owners in this subdivision will maintain and use
state property on the buffer strip, docks, or mooring privileges as part of a group
or common area.

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Fully describe your plans for use of the buffer strip, including the placement of a dock or
docks, the number of proposed slips, any restrictions concerning the number of boats,
size of boats, and any other amenities or improvements that you propose to provide
property owners in the development.

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

You must attach a plat or survey drawing delineating the layout of your
development with respect to State Property including the location of any
proposed docks or buffer strip improvements.

Applicant Signature: _______________________________________ Date: _____________________________

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