HomeMy WebLinkAboutIslandappl.pdf Village of Cayuga Heights
Zoning Board of Appeals
Application Form
ZBA Application Fee: $100 Date Received For Office se nl
Cheek All That Apply: Cash or Check
Area Variance Zoning District
Use Variance Applicable Section(s)of Village Code:
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_Interpretation Request
Property address: 3 �c k " qj Tax parcel:Zy
Zoning Officer's determination
Requested-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. a Use additional sheets if necessary.
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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.
Owne ppflca�nt:
Signatu ' "` - Date:_ Z11,5 A-0 i 3
Phone number(s):
Email address: