HomeMy WebLinkAbout523 Highland Application.pdf Village of Cayuga Heights
Zoning Board of Appeals
Application Form
ZBA Application Fee: $100 For OiSc Us Only
Date Received 2
Check All That Apply: Cash or Check
Area Variance Zoning District L
Applicable Section(s)of Village Code:
_Use Variance
Interpretation Request
Property address: ✓ f7��f GAD Tax parcel: ( �
Zoning OfficeF's determination; � r
Reque variance or ' terpretation:
Reason(s)that the requested variance or interpretation should be granted:
See attached page for the criteria that the ZBA must use. Use additional sheets if necessary.
Please attach any additional information that will help the ZBA to evaluate your appeal,
such as a narrative,survey map, photos, building plans,etc.
By filing this application,you grant permission for Village of Cayuga Heights ZBA
Members and Village Staff to enter your property for inspections related to your appeal.
Owner/Applicant: �� I ��
Signature: ate: r
Phonenumber(s):
Email address: