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ZONING BOARD OF APPEALS HEARING APPLICATION (Appeal Information)
Appeal#: Sa A Hearing Date: Fee $: % % S—, D
Applicant is the (check one): Owner X Tenant Prospective Buyer Other Interested Party
Applicant (full names,
Address:
dba "doing business as"):
ON
Phone: 5Df5.99'54';00\ Email: 6%D
III
This application relates to the property located at:
DeNae( b Pt V e- W44 t- 46%`tv�,
Shown on the Assessor's Map as:
Map # 316
Parcel #: O ( ,
Zoning District:
rave t i .
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):
0N57UCT- 3G.' x4.o' i7 rr.
RELIEF REQUESTED: The applicant seeks the following relief from the Zoning Board of Appeals:
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: Z01 - Aq/S
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: Q 1--5— —
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 #:_ % 3� /;;t QLtg7 s—
• or Certificate #:
• Land Court Lot #:
• Plan #:
Use Classification:
• Existing:
§202.5 #
• Proposed:
§202.5 #
Is the property vacant?: Yes_ No_ If yes, how long has property been vacant?
Lot Information
• Size/Area:
• Plan Book & Page:
• Lot M
Is this property within the Aquifer Protection Overlay District (APD)? Yes_ No
Have you completed a formal commercial Site Plan Review? Yes No V
If yes, please provide a copy of the signed Site Plan Review Comment Sheet with your application.
Which othejr Boards and/or Tow DepartInents are/have/will review this project? What is the status of review?
Is this a repetitive petition (re -application)? Yes No- N1.
Do you have Planning Board Approval? Yes_ No )E
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: 5 ) 0,Au kai
r MULAK
Phone: r 7J'T& Email: 5 J pr1e C 101 Lc-t�
Building Commissioner Signature- Date: