ZBA Special Exception Request

Name of Applicant:

Address:

Telephone: Fax:

Email Address:

Owner of Property:

Location of Property:

Map: Lot:

You are applying for permission to use your property in a way that is PERMITTED in the Zoning Ordinance under "Special Exception", Article and Section .

Please give a detailed description of your proposal:

Has the property received a Special Exception or Variance in the past?
Yes No
If "YES", please provide copies of past Zoning Board of Adjustment Notices of Decision.

1. Please describe how the requested use is essential or desirable to the public convenience or general welfare.
   
2. Please state how the requested use will not impair the integrity or character of the district or adjoining zones, nor be detrimental to the health, morals or general welfare.
   
3. Please describe how the specific site is an appropriate location for the proposed use and that the character of adjoining uses will not be affected adversely.
   
4. Please show that no factual evidence is found that the property value in the district will be adversely affected by such use.
   
5. Will undue traffic, nuisance or unreasonable hazard result from your proposed use? Yes or no and please explain your answer:.
   
6. Please explain how adequate and appropriate facilities will be provided for the proper operation and maintenance of the proposed use.
   
7. Please show that there are no valid objections from abutting property owners based on demonstrable fact.
   
8. Please show that the proposed use has an adequate water supply and sewerage system and meets applicable requirements of the State.
   
9. If the proposed use is for multi-family dwellings, will it be served by the Town water system and by the Town sewerage system.
   

Abutter List

• An abutter is defined as any person whose property adjoins or is directly across the street or stream from the land under consideration by the Zoning Board of Adjustment.
• Abutter information can be obtained from the Planning Department located upstairs in the Town Hall.
• Enter the names, mailing address and map and lot numbers for all abutters:
  
  

Fee Schedule

• Application $100
• Newspaper Legal Ad $90
• Certified Notices $10/abutter

All fees must be paid at the time the application is submitted or the application will not be accepted.

Notes

• Submissions must be made in accordance with the adopted Zoning Board of Adjustment submission deadline, which is posted at the Town Hall.
• All applicants are encouraged to meet with the Code Enforcement Officer prior to submitting an application to avoid delays due to incomplete information.

Authorization

Clicking on the submit button below constitutes my permission to send these documents to the Code Enforcement Officer. By submitting this application, I verify that I am the legal property owner or have a notorized letter from the property owner allowing me act on their behalf. This form and payment must be submitted to the Town prior to being placed on the agenda.