HomeMy WebLinkAbout5195 169 Route 6A ApplicationYf,R},IOUTH TI}I{H CLEEH TE
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ZONING BOARD OF APPEALS HEARING APPLICATION (Appeal Information)
Appeal#Hearing Date Fee $: 4SO, Od
Applicant is the (check one): Owner Tenant_ Prospective Buyer_ Other Interested Party_
Applicant (full namcs, including dba "doing business es
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Phone:E,mail:iT(Co/)-\
This application relates to the
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loceted at:
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Shown on the Assessor's as:
o Map#
o Parcel #:
. Zoning District
Properfy located on un-constructed (paper) street? Provide nearest cross street name or other identifying location:
(..9., add l0'b 5'deck to the front ofour house):
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RELIET's REQUESTED: The applicant seeks the following relief from the Board of Appeals:
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_REVERSE DECISION OF TIIE BUILDING COMMISSIONER (include a copy of this decision with this
application). What is the decision date?:
ThereasonforreversalandtherulingyourequesttheBoardtomake:
-SPECIALPERMITunderYarmouthZoningBylawSection: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 bylarv from which rclief is rcquested,
and, as to each section, specifu the reliefsought:
Section & Relief sought:
Section & Relief sought:
Section & Relief sought:
ADDITIONAL IN FORMATION (which you feel should be rncluded in your application)
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ZONING BOARD OF APPEALS HEARING APPLICATION (Property Information)
Nrme & Address of Current Property Owner (if other than applicant) as listed on the Deed:
Title Deed Reference (provide a copy of most recent Deed):
o Book & Page #:
. or Certificate #:
12
o Land Court Lot #:
o Plan #:
Use Classification:
r Existing:
$202.s #
$202.s #_
/
Is the property vacant?: Yes_ NoLl tf yes, how long has property been vacant?_
o Proposed:
Lot Information
o SizeiArea
o Plan Book & Page
o Lot #:
Is this properfy within the Aquifer Protection Overlay District (APD)? Yes_ No_
Have you completed a formal commercial Site Plan Review? Yes_ No_
If yes, pleose provide a copy oJ' the signed Site Phn Revieu, Comment Sheet v:ith your application
Which other Boards and,/or Tow'n Departments arelhave/will review this project? What is the status of review?
Is this a repetitive petition (re-application)? Yes_- Xo1
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
Property
Address:
Owner Signature
Phone:- Q'l Ccll t
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Building Commissioner
Email;
Date: