HomeMy WebLinkAbout5181 40 Lorena Rd ApplicationVARMOUTH TOXIN CLERK RE
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ZONING BOARD OF APPEALS HEARING APPLICATION (Appeal Information)
Appeal#: % p Hearing Date: CD OM— Fee $: , 409>
Applicant is the (check one): Owner Tenant Prospective Buyer Other Interested Party
Applicant (full names, including dba "doing business as"): A.d-4 {4 ryLa YI
Address:, Nly-& pG�Ij +C, f�al'cvlc� Mif 006 of
Phone: 77yf1'g?7(&6 90 Email:
This application relates to the property located at:
Shown on the Assessor's Map as:
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All
• Map #
• Parcel #:
• Zoning District:
Property located on un-constructed (paper) street? Provide nearest cross street name or other identifying location:
Summary (e.g., add a 10' by 15' deck to the front of our house):
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RELIED' REUESTED: The applicant fisyeeks the follow' r lief from the ZoningBoardof Appeals:
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_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: U . 3 .. O>~ c-s✓C
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: x"'
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:
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Title Deed Reference (provide
• Book & Page #:
• or Certificate #:
• Land Court Lot #:
• Plan #:
copy of most recent Deed):
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Use Classification:
• Existing:Al
§202.5 #
• Proposed: L lden-6
§202.5 #
Is the property vacant?: Yes` No ✓ If yes, how long has property been vacant?
Lot Information
Size/Area:
Plan Book & Page:
Lot #:
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Is this property within the Aquifer Protection Overlay District (APD)? Yes^ No V/
Have you completed a formal commercial Site Plan Review (if needed)? Yes _ NoZ
If yes, provide a copy of the signed Site Plan Review Comment Sheet Kith your application.
Which other Boards and/or Town Departments are/have/will review this project? What is the status of review?
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Is this a repetitive petition (re -application)? Yes_ Now
If required, do you have Planning Board Approval? Yes Na/
-� Has this property been the subject of prior relief from the Zoning Board of Appeals? Yesy 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: /02 I/ } -
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Phone: ��c! b U EYrail:
Building Commissioner Signature:
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