Fillable GLOUCESTER, MASSACHUSETTS 01930 CITY OF GLOUCESTER Special Council (City of Gloucester)

Fill Online, Printable, Fillable, Blank GLOUCESTER, MASSACHUSETTS 01930 CITY OF GLOUCESTER Special Council (City of Gloucester) Form

Use Fill to complete blank online CITY OF GLOUCESTER (MA) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

GLOUCESTER, MASSACHUSETTS 01930 CITY OF GLOUCESTER Special Council (City of Gloucester)

On average this form takes 24 minutes to complete

The GLOUCESTER, MASSACHUSETTS 01930 CITY OF GLOUCESTER Special Council (City of Gloucester) form is 5 pages long and contains:

  • 4 signatures
  • 0 check-boxes
  • 79 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Gloucester

BROWSE CITY OF GLOUCESTER (MA) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
CITY OF GLOUCESTER
GLOUCESTER, MASSACHUSETTS 01930

_______________________________
(Public hearing to be held no later than
above date)
In conformance with the requirements of the Zoning Ordinance of the City of Gloucester, the undersigned
hereby applies
for a Special Council Permit (CC or CCS) in
accordance
with Section 1.8. 3 of the Ordinance
and other Sections as listed
below:
Type of Permit (Give specific section of Zoning Ordinance)
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Applicant’s Name: ________________________________________________________________________________
Owner’s
Name:__________________________________________________________________________________________
(if different from applicant)
Location: ______________________________________________ Map #______________ Lot #__________
(Street Address)
Zoning Classification: _________________
Attached is a list of owners (with complete addresses) of land directly opposite on any public or private
street or way,
direct abutters, and abutters to the abutters of land within three hundred (300) feet of the
property line, as they
appear on the most recent City of Gloucester Assessor's Maps and Tax list.
Attached is a listing of criteria set forth in Section 1.8.3 of the Zoning Ordinance, including any
supportive material or
comments the applicant may wish to include (i.e. ZBA decisions, Order of
Conditions, etc.) if necessary.
Attached are the necessary plans as set forth in Section
1.5.
3, of the Zoning Ordinance, which at a
minimum consist of an
accurate plot plan (to scale) showing existing and/or proposed building or structures.
APPLICANT:
________________________
Name (Signature)
Address
__________________________________
Address
__________________________________
Telephone
Certified for completeness:
Building Inspector:____________ Date:__________
Planning Director:_____________ Date:__________
CITY OF GLOUCESTER
Special Council Permit – Application
City of Gloucester - Action
Fee: ________
City Clerk (received): ____________
City Council (received): ____________
Public Hearing (ordered) ____________
Public Hearing (opened): ____________
Public Hearing (closed): ____________
Final Decision: ____________
Disposition ____________
(Approved, Denied, Approved w/conditions)
click to sign
signature
click to edit
Section 1.8.3 (Use additional sheets, if necessary)
1. Social, Economic, or community need served by the proposal:
2. Traffic flow and safety:
3. Adequacy of utilities and other public services:
4. Neighborhood character and social structure:
5. Qualities of the natural environment:
6. Potential fiscal impact:
________________________________________________________________________________________
The applicant is advised that City staff is available to assist the applicant in preparing the
Application, including the Inspector of Buildings and City Planner
________________________________________________________________________________________
Application for Special Permit
The undersigned applicant hereby applies for a special permit under M.G.L., Ch. 40A, § 9 as follows.
1. Applicant (includes equitable owner or purchaser on a purchase and sales agreement):
Name: _________________________________________________________________________
Address: _______________________________________________________________________
Tel.# Days _____________________________________ Evenings________________________
_______ Check here if you are the purchaser on a purchase and sales agreement.
2. Owner, if other than applicant:
Name: _________________________________________________________________________
Address: _______________________________________________________________________
Tel.# Days _____________________________________ Evenings_________________________
3. Property:
Street address: _____________________________________________________________________
Assessor’s Map: ______________ Lot: ________
Registry of Deeds where deed, plan, or both records:
_______________________________________________________________________
Deed recording: Book __________ Page ____________
Plan recording: Plan #_________
Property is located in the _________________________________________________ zoning district.
4. Nature of relief requested:
Special permit pursuant to Article/Section _________________________________ of the Zoning Ordinance/By-Law
which authorizes _______________________________________________________________________ to permit
_____________________________________________________________________________________________
Detailed explanation of request:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
________________________________________________________________________________
______________
5. Evidence to support grant of special permit:
Because of reasons set forth below, the special permit requested will be in harmony with the intent and
purpose of the Zoning Ordinance/By-Law:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Because of reasons set forth below, the special permit requested will meet the additional requirements of
the Zoning Ordinance/By-Law as follows:
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
_____________________________________________________________________________________________________
If someone other than owner or equitable owner (purchaser on a purchase and sales agreement) is the
Applicant or will represent the Applicant, owner or equitable owner, must designate such representative
below.
Name of Representative:_____________________________________________________________________
Address of Representative:___________________________________________________________________
Tel. # Days____________________________ Evenings_____________________
Relationship of representative to owner or equitable owner:
_________________________________________________________________________________________
I hereby authorize_________________________________________ to represent my interests before the
Special Permit Granting Authority with respect to this Special Permit Application.
(Signed by owner/equitable owner) _______________________________________________________________
I hereby certify under the pains and penalties of perjury that the information contained in this
Application is true and complete.
_____________________________________________ ___________________________________________
Signature of Applicant Date
_____________________________________________ ___________________________________________
Signature of Owner, if other Date
than Applicant
_____________________________________________ ___________________________________________
Signature of Equitable Owner Date
who is filing application to
satisfy condition of
Purchase and Sales agreement
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

GLOUCESTER, MASSACHUSETTS 01930 CITY OF GLOUCESTER Special Council (City of Gloucester)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 21 April 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document