Real Estate Variance Application

Real Estate Variance Application

Application Date:    Filing Fee:

Property Identification

Applicant and Owner Information

Phone:    Email:

Owner Phone:    Owner Email:

Agent Phone:    Agent Email:

Variance Requested

Type of Variance Requested:
Area / Dimensional variance
Use variance
Administrative variance
Other:

Attachments and Checklist

Required attachments (check those included):
Site plan
Architectural plans / elevations
Photographs of site
Other supporting materials

Disclosures

Has the property been the subject of prior variances or similar approvals?
Yes No

Site conditions / environmental:
Lead-based paint present? Yes No
Located in mapped floodplain? Yes No
Located in historic district? Yes No

Public Notice and Hearing

Applicant acknowledges that public notice and a hearing may be required and agrees to pay all applicable notice and mailing costs. Applicant further understands that failure to appear at the scheduled hearing may result in denial of the application.

Legal Certifications and Consent

I certify under penalty of perjury that the information provided in this application and all attachments is true and correct to the best of my knowledge. I understand that knowingly providing false information may be grounds for denial or revocation of any approval granted. I authorize municipal staff and its agents to enter the subject property for purposes of inspection related to this application, subject to any reasonable constraints provided in writing prior to entry.

Staff Use Only

Acknowledgment

Applicant acknowledges that approval of a variance is extraordinary relief and that approvals may include conditions and expiration dates. Approval of this application, when granted, runs with the land and not exclusively with the current owner unless expressly stated in the decision. The applicant further agrees to comply with any conditions of approval and understands that failure to comply may result in revocation and enforcement action.

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