Zoning Hearing Board Application

Indentification

Applicant Name*

First Last

Email*

Applicant Address

Street Address Address Line 2 City State ZIP Code

Applicant Phone*

Land Owner Name*

First Last

Work Authorization*

I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application as his or her authorized agent:

Signature*

Type of Request

Special Exception

Variance

Appeal from Action of Zoning Officer

Other, Please Explain

Files included as needed

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Accepted file types: pdf, jpg, png, doc, docx, Max. file size: 16 MB.

Property Information

Property Location*

Street Address Address Line 2 City State ZIP Code

Date of Purchase*

Present Use*

Proposed Use*

Lot Area*

Lot Width*

Lot Depth*

Proposed Sign Dimensions, If Applicable*

Extra Files

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Accepted file types: pdf, jpg, png, doc, docx, Max. file size: 16 MB.

Note: Attach Survey, Legal Description, Architectural Rendering or Site Plan, if appropriate or required by the Zoning Office.

Request for Special Exception

A Special Exception is requested in accordance with the standards required by the Berwick Township Zoning Ordinance in Section(s):*

Application for Hearing Before the Berwick Township Zoning Hearing Board

Request for Variance(s)

The Applicant believes that there are unique physical circumstances or conditions, including irregularity, narrowness, or shallowness of lot size or shape, or exceptional topographic or other physical conditions peculiar to the particular property, and that the hardship is due to such conditions and no the circumstances or conditions generally created by the provisions of the Zoning Ordinance in the district in which the property is located (please describe):*

The Applicant believes that, because of such physical circumstances or conditions, ,there is no possibility the property can be developed in strict conformity with the provisions of the Zoning Ordinance and that the authorization of a variance is therefor necessary to enable the reasonable use of the property (please describe):*

The Applicant believes that such unnecessary hardship has not been created by the Applicant (please describe):*

The Applicant believes that the variance, if authorized, will not alter the essential character of the neighborhood or district in which the property is located, not substantially or permanently impair the appropriate use or development of adjacent property, nor be detrimental to public welfare (please describe):*

The Applicant believes that the variance, if authorized, will represent the minimum variance that will afford relief and will represent the least modification possible of the regulation at issue (please describe):*

Appeal from action of zoning officer

Attach narrative or the acction which you are appealing:

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Accepted file types: pdf, jpg, png, doc, docx, Max. file size: 16 MB.