To the
OAKHAM ZONING BOARD OF APPEALS
The undersigned hereby applies for a Variance
Applicant Name(s)______________________________________Phone #__________________
Address: ______________________________________________________________________
Property Location: ______________________________________________________________
Map/Parcel: ___________________________________________________________________
Registry of Deeds, Book: ______________________________ Page: _____________________
This application for a variance is requested because the structure, the land, or the land use
does not comply with the applicable Oakham Town By-Laws, the State Building Code, or
The Massachusetts General Laws. Please state the reason(s):
Section: ______________________ Item: __________________of the Oakham Town By-Laws
Article: _____________________ Section: _________________of the State Building Code
Chapter: ____________________Section:________________of the Massachusetts General Law
A brief description of the request: ________________________________________________
Please submit the completed form with applicable documentation and fee to the Clerk of
the Oakham Zoning Board of Appeals. Also, submit a copy of this form to the Oakham
Town Clerk.
Signature of Applicant(s)__________________________________ Date: ________________
__________________________________ Date: ________________
Name of Consultant, Attorney or representative: __________________________________
Address: __________________________________________
Title: ____________________________________________