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WIRMOUTH TOWN' CL-ERK RE
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ZONING BOARD OF APPEALS HEARINGAPPLICATION(Appeal Information)
Appeal#: 5--A Q 3 Hearing Date: V9 /,;L Fee $: / �, Lo
Applicant is the (check one): Owner / Tenant Prospective Buyer Other Interested Party
Applicant (full names, including dba "doing business as"): /6e?2. p LA-
Address: Obhr`l�d lt#1
Phone: — — ! 5'0 - Email:
This application relates to the property located at:
Shown on the Assessor's Map as:
• Map #_..
• Parcel #:
• Zoning District: I-
2
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 house):
RELIEF REQUESTED: The applicant seeks the followin relief from the Zoning Board of Appeals:
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_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 make:
_SPECIAL PERMIT under Yarmouth Zoning Bylaw Section:
and/or for a use authorized upon Special Permit in the "Use Regulation Schedule" §202.5:
YC 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: r,. r 1' Ae— S£a"—J�ri¢Lx:- /lam ¢
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 recent Deed):
• Book & Page #:��
• or Certificate #: _
• Land Court Lot #:
• Plan M
Use Classification:
• Existing:
§202.5 #
• Proposed:
§202.5 #
Is the property vacant?: Yes
Lot Information
• SizerArea:
• Plan Book & Page:
• Lot M
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? Yes_ No_
If yes, please 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
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 / Agej
Property Owner Signature
Address:
Phone: E
Building Commissioner Signature: Date; %� ��