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') APPLICATION TO BOARD OF APPEALS
Tel. No Appeal No.202(_o"�()f �
Date i.// G / 2 ct-
TO THE ZONING BOARD OF APPEALS, WEST SENECA, NEW YORK:
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- ---------------, HEREBY APPEAL TO THE ZONING BOARD OF APPEALS FROM THE
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 0 A CERTIFICATE OF ZONING COMPLIANCE
□ A TEMPORARY PERMIT OR EXTENSION THEREOF AREA PERMIT
I. Applicant is the � PROPERTY OWNER
□ CONTRACTOR FOR THE WORK CONCERNED HEREIN
0 PROSPECTIV E TENANT
□ OTHER (Describe)------------------- ---------
2. LOCATION OF THE PROPERTY
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.._ _ _ _ _ _ _ _ ___ _ ___
3. State in general the exact nature of the permission required,----------------------
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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
, dated-- - ----- - ------, 2Q _
to this property, except the appeal made in Appeal No.- - - _
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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 Ordinan·ce, because: _______________
---1.pplicant's Signati1.re '
TO BE COMPLETED BY THE BUILDING INSPECTOR
l. Provision(s) of the Zoning Ordinance Appealed, including article, section, subsection or paragraph of the Zoning Ordinance
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2. Zoning Classification of the property concerned in this appeal __,rZ..:___'=1---'-S:=--------------------
3. Type of Appeal:
� Variance to the Zoning Ordinance.
tJInterpretation 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. __C_=fl �r �,.,.����/�o_,l,� -------
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