HomeMy WebLinkAbout4922 ApplicationTOWN OF YARMOUTH 111�i €':'s=
BOARD OF APPEALS 2 1 S E P29 P w 12'49 R E C
APPLICATION FOR HEARING
Appeal#:
Hearing Date: Fee$
Owner -Applicant:
(kVJ1 Names- including d/b/a)
(Address) (Telephone Number) ) (Email Address)
and is the (check one) X Owner v Tenant Prospective Buyer w1 Other Interested Party
Property: This application relates to the property located at: S O Q
and shown on the Assessor's Ma 9: � ��
p as Parcel:
Zoning District: %- --��
`�� If property is on an un-constructed (paper) street name of nearest cross
street, or other identifying location:
Project: The applicant seeks permission to undertake the following construction/use/activity
(give a brief description of the project. i.e.: "add a 10' by 15' deck to the front of our house" or
"change the use of the existing building on the property"):
RELIEF REQUESTED: The applicant seeks the following relief from the Board of Appeals:
1} REVERSE THE DECISION OF THE BUILDING INSPECTOR OR THE ZONNG
ADMINISTRATOR dated attach a copy of the decision appealed from). State the reason
for reversal and the ruling which you request the Board to make.
?} v SPECIAL PERMIT under § jqq- ;. Z z)of the Yarmouth Zoning By-law y-law and/or
a use authorized upon Special Permit in the "lise Regulation Schedule � �-0- `
space below if needed) § (uusesefor
�) \, VARIANCE from the Yarmouth Zoning By-law. Specify all sections of the b -law fr
which relief is requested, and, as to each section.. specify the relief sought: y om
Section: 2 v3 . T Relief sought:
Section: Relief sought:
Section: Relief sought:
ADDITIONAL INFORtiIATION: Please use the space below to provide any additional
information which you feel should be included in your application:
FACTSHEET
Current Owner of Property as listed on the deed (if other than applicant):
Name & Address
Title deed reference: Book & Page# _D_ 0 % S1ti or Certificate 9-
Land Court Lot # Plan #(provide co v of recent deed
Use Classification: Existing: Q, §202.5
Proposed: §202.5 #
Is the property vacant: QC2 If so, how tong?:
Lot Information Size/Area: j Plan Book and Page / LotT
Is this property within the Aquifer Protection Overlay District? Yes V No
Have you completed a formal commercial site plan review (if needed)? YesANo
Other Department(s) Reviewing Project: Indicate the other Town Departments which are/
have/ or will review this project, and indicate the status of their review process:
Repetitive Petition: Is this a re -application; If ves, do you have Planning Board
Approval?
Prior Relief: If the property in question has been the subject of prior application to the Board of
Appeals or Zoning Administrator. indicate the date and Appeal number(s) and other available
information. Include a copy of the decision(s) with this application:
Building m
Commissioner Coments:
Applicant's /Attorney /Agent Signature
Address:
Phone
E-Mail:
At,le�, /
Owner's Signature