Zoning Appeals Form
TOWN OF HOLLAND
Variance/ Special Permit Application
This Form To Be Filed with the Town Clerk with Fee Payment of $125.00
Date ______________________
TO THE ZONING BOARD OF APPEALS:
The undersigned hereby petitions the Board of Appeals to vary the terms of the Zoning By-Laws of the Town of Holland
in the following respect: due to a ______non-conforming lot
or ______other reason please explain:
Please give Chapter and Section of the Zoning By-Laws for which a variance is requested:
or any limitation, extension, change, alteration or modification of use, or method of use as may at the hearing appear as necessary or proper in the premises.
For the following property: Street_____________________________________________________
Map & Lot Number _______________________________
State Briefly Reason for Variance
Attach Pertinent Plans & Drawings
Property Owner____________________________________________
Petitioner__________________________________________________
Address___________________________________________________
Phone______________________________________________