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IRMOUTH TOWN, CLERK RE a � y
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ZONING BOARD OF APPEALS HEARING APPLICATION (Appeal Information)
Appeal#: a 3 Hearing Date:
Applicant is the (check one): Owner t Tenant Prospective Buyer
Applicant (full names, including dba "doing business as"): _ I_C9C.c
Address:
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Fee $: L' 6"V . OD
Other Interested Party
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Phone: 66,9ZZo21 71 Email: !/ueC� , P
This application relates to the property located a11
3 z,& ill 012 LtLe
Shown on the Assessor's Map as:
• Map # f
Parcel #:?�,_
Zoning District:
Property t cated on un-constructed (paper) street? Provide nearest cross street name or other identifying location:
P1 ttc-C K 6;�4 vs Q4- 2-6
ProjectAASum ary (e.g., add 0' �y 15' deck to the front of our house): r
RELIEF RVOTIE.STED: The applicant see s the followip lie from the Zoning Board ofAp eals: n j
ptke K /:v 7
ItAL
_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: ZD. 3. Z oc
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: Z-01-T' — 5 1 D`&•
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
Low Z 9
Title Deed Reference (pr
• Book & Page
• or Certificate
• Land Court Lot it:
• Plan #:
Use Classification:
• Existing:
§202.5 #
• Proposed:
§202.5 #
a co�y�l - I'�'recent 1�ee[11:
b I /U
Is the property vacant?: Yes_ No_ If yes, how long has property been vacant?
Lot Information
• Size/Aref
• Plan Book & Page:
• Lot At:
Is this property within the Aquifer Protection Overlay District (APD)? Yes_ No C/
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 Signatu
Property Owner Signature:
Address. --
Phone: ail:
Building Commissioner Signature: Date: —