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ZONING BOARD OF APPEALS HEARING APPLICATION (Appeal Information)
Appeal#:Hearing Date:lo Fee $:.ao
Applicent is the (check one): Ownc , ,/Tenant_ Prospective Buyer_ Other Interested Party_
Applicant (full names, including dba business as")
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Phone:.3C Email:(rrrc-fim
This relates to the located at
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Shown on the
Map #
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Parcel #:
Zoung District
Property located on un-constructed (paper) street? Provide nearest cross street name or other identifying location:
(e.g,. add a l0'l5I deck to the front of our house '):Ir-hal'-
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RELIET'REQUESTED: The applicant seeks the following relief from the Zoning Board of Appeals:Lo
_REVERSE DECISION OF THE BUILDING COMMISSIONER (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 mqlrc.
-sPECIALPERMITunderYarmouthZoniagBylawSection: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 reliefsought:
Section & Relief sought
Section & Relief sought
Section & Relief sought
AL INFORLATION (which you feel should be included rn your app,lication ):
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ZONING BOARD OF APPEALS HEARING APPLICATION (Property Information)
Name & Address of Current Propertl Owner (if other than applicant) as listed on the Deed:
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Title Deed Reference (provide a copy of most recent Deed):
o Book & Page #
. or C--ertificate #:
o Land Court Lot
r Plan #:
Use Classification:
o Existing:
9202.s #
a Proposed
$202.5 #
Is the property vacant?: Yes_ No
Lot Information
o Size/Area: , q? hCf :S
Ifyes, how long has properfy been vacant?
o Plan Book & Page
o Lol#:
Is this property within the Aquifer Protection Overlay District (APD)? Yes_ No_
Have you completed a formal commercial Site Plan Review? Yes_ No_
If yes, please provide a copy of the signed Site Plan Revie,*' 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 (
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 Owner Signature:
Address
Phone: 1tr t 'qfl- l|''n
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Building Commissioner
Email:
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Date:zy't/zt-