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APPLICATION TO BOARD OF APPEALS
Tel. No.-�
Appeal No. ________
Date__________
TO THE ZONING BOARD OF APPEALS, WEST SENECA, NEW YORK:
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( 1�'22 / , HEREBY APPEAL TO THE ZONING BOARD OF APPEALS FROM THE
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DECISION OF THE BUILDING INSPECTOR ON AN APPLICATION FOR A BUILDING PERMIT, WHEREBY THE BUILDING
INSPECTOR DID DENY PERMIT TO: __ ________________ _ _ _ _ ____
□ A PERMIT FOR USE 0 A CERTIFICATE OF EXISTING USE
□ A PERMIT FOR OCCUPANCY [,I A CERTIFICATE OF ZONING COMPLIANCE
□ A TEMPORARY ERMIT OR EXTENSION THEREOF [RSI AREA PERMIT
I. Applicant is the PROPERTY OWNER
□ CONTRACTOR FOR THE WORK CONCERNED HEREIN
□ PROSPECTIVE TENANT
□ OTHER (Describe)--- - - - - - - ---�--------------
2. LOCATION OF THE PROPERTY__ \ __._\ _
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3. State in general the exact nature of the permission required, ���f�L_\�l
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4. PREVIOUS APPEAL. No previous appeal has been made with respect to this decision of the Building Inspector or with respect
to this property, except the appeal made in Appeal No. N� , dated ________________ , 2Q_ _
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5. REASON FOR APPEAL.
A. A Variance to the Zoning Ordinance is requested because strict application of the ordinance would produce undue hardship, or
the hardship created is unique and is not shared by all properties alike in the immediate vicinity of this property and in this use district,
or the variance would observe the spirit of the ordinance and would not change the character of the district because: _____ _ _
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B. Interpretation of the Zoning Ordinance is requested because;_ _ __ _ _ _ _ _ ___________
C. A Special or Temporary Permit·or an Extension thereof Under the Zoning Ordinance is requested pursuant to Article____
Section- -,
- Subsection---, Paragraph_ __of the Zoning Ordinance, because;_____________ _
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Applicant's Signati re
TO BE COMPLETED BY THE BUILDING INSPECTOR
l. Provision(s) of the Zoning Ordinance Appealed, including rticle, section, subsection or paragraph of the Zoning Ordinance
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2. Zoning Classification· of the\property concerned in this appeal _\2.
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3. TY(Je of Appeal:
ltf· Variance to the Zoning Ordinance.
D Interpretation of the Zoning Ordinance or Zoning Map.
D Special or Temporary Permit or an xtension thereof under the Zoning Ordinance.
4. A statement of any other facts or data which should be considered in this appeal. ----------------
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Building lnspe� or- -+'-'/�'_
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______________
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