Fill - Free fillable CITYOFPROVIDENCE ZONINGBOARDOFREVIEW NOTICEOFAPPEAL DirectoroftheDepartmentofInspectionandStandards CityPlanCommission HistoricDistrictCommission (City of Providence) PDF form

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CITYOFPROVIDENCE

ZONINGBOARDOFREVIEW

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NOTICEOFAPPEAL

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DATERECEIVED: 

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ApplicationforanAPPEALfromadecisionof(checkwhichapplies):

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 DirectoroftheDepartmentofInspectionandStandards

 CityPlanCommission

 HistoricDistrictCommission

 DowntownDesignReviewCommittee

 Other

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APPELLANT(S):

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

Name

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HomeAddress

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Telephone:Home/Work

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Mobile(cellphone)

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E‐mailAddress

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OWNER(S):

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

Name

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HomeAddress

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Telephone:Home/Work

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Mobile(cellphone)

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E‐mailAddress

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FILINGINSTRUCTIONS

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ThefollowingmustbesubmittedtotheSecr etaryoftheBoard:

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A. The original and seven (7) copies of this notice of appeal (including copies  of the de cision appealed

from,eithertypedorlegiblyprinted.

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B. Acopyofthemostcurrentdeedonfileintheofficeofthe

RecorderofDeeds.

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C. Two (2) 200’ radius plans drawn to a scale of 1”= 50’ from all corners of the lot or lots in question.

Show all lot numbers, owners’ names, street numbers and building (if any) on each lot within the

radius.

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D. Two(2)copiesofalistcontainingthefollowinginformation,consistentwiththelatestdataavailablein

theofficeoftheProvidenceTaxAssessor:

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a. Eachplatandlotnumberthatappearswithin200feetoftheProperty,asdesignatedinan

attached200foot

radiusplan.

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b. The corresponding names and MAILING addresses, including zip codes, of all property

ownersofeachplatandlotnumberlisted.

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E. Two(2)setsofmailinglabelswithnamesandfullmailingaddressesofeachpropertyowneronthelist

describedinnumberabove.

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F. AlldocumentationthattheAppellant(s)wishestheBoardofAppealtoconsideraspartoftheappeal.

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NB:TheBoard’sproceduresforhandlingappealsarecontainedintheBoard’sPoliciesandProcedures.All

Appellant(s) and Appellee(s) (if notaCityentity)mustsupplyawrittenmemorandum offacts and

lawnofewerthanfive(5)businessdayspriortothehearingontheAppeal.

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FEESFORPETITIONS

FORAPPEAL

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AdvertisingFee:$115.00

 (Foreachadvertisementrequiredforthehearingonthepetition).

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ProcessingFee:$260.00

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MAKECHECKPAYABLETO:PROVIDENCECITYCOLLECTOR

NOAPPEALWILLBEACCEPTEDUNTILPAYMENTISMADE.

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THEPREMISES

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1. LocationofPremises:



(StreetNumberandAddress)

     

2. (a)Assessor’sMapNo. (b)Lot(s): (c)ZoningDistrict(s):

     

3. Areyoutheowner/occupantofthePremisesthatistheSubjectofthisappeal? Yes No 

     

4. Identifythedecisionyouareappealing.



     

5. Whatwasthedateofthedecisionand/orthedateofitsrecording?

  

6. Onwhatdatedidyoulearnofthedecision?

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7. Pleasestatewithspecificitythegroundsforappeal(how/wheretheDirector,Official,orCommissionerred

in rendering the decision), and set forth all facts and evidence on which you rely in support of your

appeal.**

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**Thisstat ementisnotasubstitutefor

thememorandumoflawandfactsrequiredbytheBoard’sRulesand

Regulations.

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The undersigned declares that the information given herein is true to the best of his or her knowledge and

belief. The undersigned further acknowledges that providing false information to a municipal official/entity

maybesubjecttocivil

andcriminalpenalties.

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Signature(s)ofAppellant(s)Date

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 

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CounselforAppellant(s):

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Name



Address

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CityStateZipCode

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Phone:Office

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Phone:Mobile



E‐mailAddress

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CITYOFPROVIDENCE ZONINGBOARDOFREVIEW NOTICEOFAPPEAL DirectoroftheDepartmentofInspectionandStandards CityPlanCommission HistoricDistrictCommission (City of Providence)

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