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Village of Cayuga Heights <br />Zontng Board of Appeals <br />Application Form <br />ZBA Application Fee: $L00 <br />Check All That Apply: <br />X a."u Variance <br />_ Use Variance <br />_ Interpretation Request <br />Date Received <br />Cash or Check <br />Zonng District <br />Applicable Sect s) of Village <br />Zonins officer's determination: {Le 4v € 5f fpU &U tW idg ?€Ul [T' <br />Requested variance or interpretation: <br />Propertyaddress: tp{Y-Vorl Y> raxparcel: tZ-l-l <br />e <br />Reason(s) that the requested variance or interpretation should be granted: <br />Please attach any additional information that will help the ZBA, to evaluate your appeal, <br />such as a narrative, survey map, photos, building plans, etc. <br />By filing this application, you grant permission for Village of Cayuga Heights ZBA <br />Members and Village Staff to enter your property lbr inspections related to your appeal. <br />Owner/Applicayt: <br />Signature:Date: <br />Phone number(s): ' <br />.\.'1- <- <br />" See attached page for the criteria that the ZBA must use. " Use additional sheets if necessary. <br />LAr-M"{€ <br />Email address: