Coastal Assessment Form - the Town of Poughkeepsie 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Applicant Information' section. Enter the project name, applicant's name, address, and telephone number accurately.
3. In the 'Proposed Activity' section, provide a detailed description of the proposed activity along with the tax map number and street address of all parcels involved.
4. Complete the 'Coastal Assessment' section by checking either 'YES' or 'NO' for each question. Ensure you refer to the relevant policies indicated next to each question.
5. If any questions in Section C are answered 'YES', prepare additional pages identifying affected coastal policies and assessing their impacts.
6. Finally, complete the certification section with the lead agency's name, signature, title, and date to confirm consistency with the Local Waterfront Revitalization Program.

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