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ZONING BOARD OF APPEALS HEA�RyING APPLICATION (Appeal Information)
Appeal#: %J7Q _ Hearing Date: / a Fee $: DC
Applicant is the (check one): Owner Tenant Prospective Buyer Other Interested Party tJ
Applicant (full names, including dba "doing business as"):
Address: LA-e r.-.n .A V . — ,-kb art rvL CJ k 4 V%
Phone: Email: a,, jPi 5,C, r elrY\
This application relates to the property located at:
Shown on the Assessor's Map as:
• Map # °J
• Parcel #:_� _
• Zoning District: flL— L-4 0
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):
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RELIEF REQUESTED: The applicant seeks the following 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:
►' 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:
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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 M _
• 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 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 S�atu :
Property Owner Signature:
Address: !? Sea
Phone:," ?}-? Em,
Building Commissioner Signature:
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