HomeMy WebLinkAbout5241 354 Forest Rd Application0
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ZONING BOARD OF APPEALS HEARING APPLICATION (Appeal Information)
Appeal#: • 'dR * / Hearing Date: 1A 14k Fee $: J 71 r 0-0--
Applicant is the (check one): Owner ✓ Tenant Prospective Buyer Other Interested Party.
Applicant (full names, including dba "doing business as"):
Phone: � g - " to J - Email: L4164 IS $� ( � , C=, vA
This application relates to the property located at:
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Shown on the Assessor's Map as:
• Map 4
Parcel
Zonin;
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):
RELIEF RE VESTED: The applicants ks the following relief fr9m the Zoning oard 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:
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SPECIAL PERMIT under Yarmouth Zoning Bylaw Section: u
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:_
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 #: IFA -A 38:ac, Aj�= 1:1
• 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 #-
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 Comm enl Sheet with your application.
Which other Boards and/or Town Departments arc/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 Signature:_
Property Owner Signature:
Address -.-
Phone: Email:
Building Commissioner Signature: Date:
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CQAPON111ED `ti
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 #: b
• or Certificate #:
• Land Court Lot #:
• Plan #:
Use Classification:
• Existing: _
§202.5 #_
• Proposed:
§202.5 #
Is the property vacant?: Yes_ NoZIf yes, how long has property been vacant?
Lot Information
• Size/Area:
• Plan Book & Page: _
• Lot #:
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 / Agent Signature:
Property Owner Signature:
Address:
Phone:
Building Commissioner Signature: