HomeMy WebLinkAbout5120 9 Millard Rd Application*MOUTH TOWN CLERK RE
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ZONING BOARD OF
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APPEALS HEARING APPLICATION ! Hearing Date: _ a S— Q 4
Applicant is the (check one): Owner Tenant Prospective Buyer
(Appeal Information)
Fee $: �.
Other Interested Party ✓
Applicant (full names, including dba "doing business as"): "Cx1 f CNrw i
Address:
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Phone: S0k- 2-Email: T
This application relates to the property locate at:
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Shown on the Assessor's Map as:
• Map # -S14
• Parcel #: al
• Zoning District: - -
Property located on un-constructed (paper) street? Provide nearest cross street name or other identifying location:
Project Summary (e.g., add a 10',by 15' deck to the front of our
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RELIEF RE VESTED: The applicant the following �� from the Zoning and of�i eels
_REVERSE BUILDING INSPECTOR OR BUILDING COMMISSIONER DECISION (include a copy of this
decision with this application). What is the decision date?:
The reason for reversal and the ruling you request the Board to make:
_SPECIAL PERMIT under Yarmouth Zoning Bylaw Section: 1 . 7- 2
and/or for a use authorized upon Special Permit in the "Use Regulation Schedule" §202.5:
_VARIANCE from the Yarmouth Zoning Bylaw. Specify all sections of the bylaw from which relief is requested,
and, as to each section, specify the relief sought:
Section & Relief sought:
Section & Relief sought:
Section & Relief sought:
ADDITIONAL INFORMATION (which you feel should be included in your application):
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ZONING BOARD OF APPEALS HEARING APPLICATION (Property Information)
Name & Address of Current Property Owner (if other than applicant) as listed on the Deed:
Title Deed Reference (provide a copy of most recept Deed):
• Book & Page #:��
• or Certificate #:
• Land Court Lot #:
• Plan #:
Use Classification:
• Existing:
§202.5 A
• Proposed._
§202.5 --
Is the property vacant?: Yes_
Lot Information
• Size:'Area:
+ Plan Boole & Page:
• Lot #:
No-�( If yes, how long has property been vacant?
Is this property within the Aquifer Protection Overlay District (APD)? Yes No
Have you completed a formal commercial Site Plan Review (if needed)? Yes No
If'yes, provide a copy of the signed Site Plan Review Comment Sheet with your application.
Which other Boards and/or Town Departments are/have/will review this project? What is the status of review?
Is this a repetitive petition (re -application)? Yes_ No
If required, do you have Planning Board Approval? Yes No
Has this property been the subject of prior relief from the Zoning Board of Appeals? Yes No
If yes, provide the date(s), Appeal number(s), decision(s), and other pertinent information with this application.
Building Commissioner Comments:
Applicant / Attorney / Agent Signature:
Property Owner Signature:
Address:
Phone:
Building Commissioner Signature
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