Updated02062017
APPLICATION FOR A MODIFICATION TO A PREVIOUSLY APPROVED
SPECIAL PERMIT/VARIANCE/APPEAL
Notice: Application must be typewritten, completed in full and accompanied with 11 copies of completed
application packages as noted in the attached checklist. One copy must be filed with the City Clerk prior to
filing with the Zoning Board of Appeals. All copies must.
1. Property Location: ____________________________________________________________________
2. Zoning District : ______________________________________________________________________
3. Applicant(s): ________________________________________________________________________
Address: _____________________________________ Telephone: _____________________________
4. Owner of Property: ___________________________________________________________________
Address: _____________________________________ Telephone: _____________________________
5. Attorney or Agent for Applicant: _________________________________________________________
Address: _____________________________________ Telephone: _____________________________
6. Describe the modification to the Variance/Special Permit/Appeal as made in accordance with Section
29-24 (m) of the Zoning Ordinance. (attach original decision)
____________________________________________________________________________________
____________________________________________________________________________________
7. Description of proposed or existing Building, Lot, Occupancy, Work and/or Uses
A. Lot Size______s.f Building Size________s.f Height________ft.
B. Existing Occupancy or Use of each floor
_________________________________________________________________________________
C. Proposed Work and/or Uses in detail, (attach additional sheets if necessary)
_________________________________________________________________________________
ZONING BOARD
OF APPEALS
LAWRENCE
MASSACHUSETTS
Administrative Assistant
Anne-Marie Nyhan-Doherty
Land Use Planner
Daniel A. McCarthy
Updated02062017
8. Please attach any other appeals or a request for a Variance or Special Permit under Zoning for this
property. (other than the one being modified)
9. Have there been any previous building zoning violations, court orders and/or building permits issued at
this location? ___________________ If so, when? _______________________
10. Is a hearing before any other City Board required for this use? ______________
If yes, please list _____________________________________________________________________
11. Signature of Applicant(s)
____________________________________ Date: ____________________________
____________________________________ Date: ____________________________
Signature of Owner(s)
____________________________________ Date: ____________________________
____________________________________ Date: ____________________________
Signature of Representative
____________________________________ Date: ____________________________
The petitioner/applicant/appellant is fully responsible for completion of this application and for
providing all required and requested documents. Incomplete applications are unacceptable. The
Zoning Board strongly recommends that the petitioner/applicant/appellant seek appropriate assistance
and representation for this application request. Unfamiliarity with zoning procedures may cause
unanticipated and unnecessary delay. Representation without proper written authorization by the
petitioner/applicant/appellant is unacceptable. Neither the Building Commissioner, the Land Use
Planner nor their staff is responsible for the completion of this application.
Updated02062017
The Lawrence Assessors’ Office
Instructions to Petitioners for Abutters Lists
The City of Lawrence mails a Notice of Hearing and Notice of Decision to all parties in interest within three hundred
(300) feet of the property line of the applicant’s property.
To prepare a complete application, the applicant must either prepare the list and labels or:
NOTE: The Assessor’s Office will prepare the abutter list and labels for a fee of $30.00
If the applicant chooses to prepare the list/labels themselves, they must:
1. Obtain the applicable tax map(s) for the site from the assessors office;
2. Identify the Parties in Interest, i.e., the petitioner/applicant, immediate abutters, owners of land directly opposite
on any public or private street or way and abutters to abutters within three hundred (300) feet along the property
sideline in an easterly or westerly direction from the property lines of your site as they appear on the most recent
applicable tax list, notwithstanding that the land of any such owner is located in another city or town.
3. List all the tax map numbers of the parcels identified above on the forms provided;
4. Prepare a typewritten list of abutters and their mailing address for certification by the city tax assessor; and
5. Provide two (2) sets of mailing labels listing the property owner's name and certified mailing address for each
abutter identified through the above process. Your name, the site owner's name and the site address should be at
the top of the list.
NOTE:
A. Where a petitioner's property line is within three hundred (300) feet of an adjacent town, the petitioner must
also supply a certified list of abutters from the adjacent town's tax assessor; the applicable tax map for
verification; and complete a label form for each abutter. All information must be typed on the forms provided
by the adjacent town.
B. Familiarize yourself with zoning requirements, because erroneous notification(s) to abutters can jeopardize or
invalidate your permit.
C. Use the attached forms and prepare your list carefully and neatly. All information must be typed on the forms
provided.
D. Every effort will be made to certify the listing you submit as soon as possible, but the assessor has 10 days,
after the receipt your written request, to verify the owner's names and addresses supplied on your list.
E. The assessors maps utilized are for assessing purposes only: therefore, they are not of survey accuracy. In the
case of questionable parcels, you should include any adjacent lots rather than eliminate one due to any
difference in a scaled dimension.
F. Our requirements are to certify your list as to accuracy of our "most recent applicable tax list.” This
certification does not include any recent transfers of ownership that we have not received.
Please do not hesitate to ask either the requesting authority or your assessors should you have any questions about
your request for certification. Thank you.
Updated02062017
List of owners to receive Notice
Petitioner: _____________________________________________________
Mailing Address: _______________________________________________
Site Address: __________________________________________________
List all owners within Three Hundred (300) feet of the site.
Assessors
Map Lot Owner Mailing Address
Site: ___ ___ _____________________ ____________________________________________
Abutters: ___ ___ _____________________ ____________________________________________
___ ___ _____________________ ____________________________________________
___ ___ _____________________ ____________________________________________
___ ___ _____________________ ____________________________________________
___ ___ _____________________ ____________________________________________
___ ___ _____________________ ____________________________________________
___ ___ _____________________ ____________________________________________
___ ___ _____________________ ____________________________________________
___ ___ _____________________ ____________________________________________
___ ___ _____________________ ____________________________________________
___ ___ _____________________ ____________________________________________
___ ___ _____________________ ____________________________________________
___ ___ _____________________ ____________________________________________
___ ___ _____________________ ____________________________________________
___ ___ _____________________ ____________________________________________
___ ___ _____________________ ____________________________________________
___ ___ _____________________ ____________________________________________
___ ___ _____________________ ____________________________________________
For Tax Assessor's Use Only
According to our records of this date, certified by the City of Lawrence Board of Assessors. This review is based upon our existing
parcel maps, which are compiled for assessing purposes only; therefore, they are not drawn to survey accuracy for conveyances. This
certification does not include any recent transfers of ownership that have not been received by the assessor's office. Every effort has
been made to maintain these records as legally required.
___________________________________ ____________
Tax Assessor’s Signature Date
_________________________________________________
Type Name and Title
Page ____ of ____.
IMPORTANT
INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED.
PETITIONER/APPLICANT OR PETITIONER’S/APPLICANT’S REPRESENTATIVE IS
SOLELY RESPONSIBLE FOR COMPLETION OF THE APPLICATION AND
FULFILLMENT OF ALL REQUIREMENTS, NOT THE BUILDING COMMISSIONER,
LAND USE PLANNER, NOR THEIR STAFF.
COMPLETE PACKAGE – ARTICLES II THROUGH XI REFERRED TO ON THE
CHECKLIST MUST ACCOMPANY THE APPLICATION PACKAGE.
FAILURE TO COMPLY WITH ANY OF THESE REQUIREMENTS WILL RESULT IN THE
PETITION NOT BEING PLACED ON THE AGENDA AND NOT HEARD.
THE BUILDING COMMISSIONER, LAND USE PLANNER AND THE ZONING BOARD
OF APPEALS RESERVES THE RIGHT TO REJECT INCOMPLETE APPLICATIONS AT
ANY TIME.
THE ZONING BOARD STRONGLY SUGGESTS CONTACTING THE ABUTTERS,
NEIGHBORHOOD GROUP, IF ANY, AND THE APPROPRIATE CITY
COUNCILLOR (S) OF THE SUBJECT PROPERTY FOR ADDITIONAL COMMENTS AND
INPUT, PRIOR TO COMPLETING AND SUBMITTING YOUR APPLICATION.
SPECIAL NOTICE
If you are or feel unable to complete the application as it is intended, you are advised to seek
assistance. Please be advised that neither the Building Inspector, the Land Use Planner, the City
Clerk nor their staff can help you with this matter.
The acceptance by the City Clerk of your application shall not be construed to mean that the
Board will accept it as being properly drafted.
Prior to hearing your petition, the Board will review it to ascertain if it is completed properly.
The Zoning Board of Appeals reserves the right to dismiss without prejudice any matter before it
on the basis of an incomplete application.
I _________________________________________ have read the application directions and this
special notice.
Applicant’ssignature(s)
AUTHORIZATION OF REPRESENTATION
I/we __________________________________________________ owner(s)
of record of ____________________________________________ (address)
hereby authorize(s) ______________________________________ (applicant)
and/or _________________________________________________, (authorized representative)
to represent me/us/it before the Zoning Board of Appeals.
________________________________
Owner of Record’s signature
________________________________
Applicant’s signature
________________________________
Authorized representative’s signature
________________________________
Date
AUTHORIZATION OF REPRESENTATION
I/we __________________________________________________ applicant(s)
of record of ____________________________________________ (address)
hereby authorize(s) ______________________________________ (authorized representative)
to represent me/us/it before the Zoning Board of Appeals.
________________________________
Applicant’s signature
________________________________
Authorized representative’s signature
________________________________
Date
Updated 02-06-2017
CITY OF LAWRENCE
LICENSE APPLICATION
[TAX ASSESSMENT AND VERIFICATION FORM]
CITY ORDINANCE: 3.08.110 AND 5.04.080 & MGL C.40, SEC 57
COMPLIANCE LIST
ALL PAYMENTS REQUIRED BEFORE ISSUANCE OF PERMITS OR LICENSES
(Please print)
Name of Applicant Applicant's current Address
Applicant's Telephone No. City State, Zip
Property Owner's Name Property Owner's Address
Owner's Telephone No. City State, Zip
DO YOU OWN OTHER PROPERTIES IN THE CITY OF LAWRENCE? YES NO
Please list below
List of Applicant's Other Properties
(Must attach Assessor's print out of all applicant's properties)
Address Map and Lot
Address Map and Lot
Address Map and Lot
More space needed -
See attached list. Attachment must be signed and dated and stamped by City departments
Applicant's Signature
I declare under the pains and penalties of Perjury that the statements made on this application are true and correct. I also certify
that all information herein is true and complete. I understand that any misleading or incorrect statements render this application
void and can be grounds for revocation of permit or license. I have not knowingly and willfully made false statements or included
false documents in support of this application or permit
Updated 02-06-2017
Tax Collector's Stamp
Tax Collector's Staff Name
Signature Date
Water Department's Stamp
Water Department's Staff Name
Signature Date
Inspectional Services' Stamp
Inspectional Services Staff Name
Signature Date
This sign off list must be attached to all permits or license applications.
All sign off must include department stamps, signatures and dates.
PHOTOCOPIES WILL NOT BE ACCEPTED.
Lawrence City Ordinance 3.08.110- Payments due prior to issuance of licenses or permits.
A. The city shall deny any application for and shall revoke or suspend any license or permit, including renewals and transfers, issued by any board, officer or department
for any person, corporation or business enterprise who has neglected or refused to pay any local taxes, fees, assessments, betterments or any other municipal charges, or
with respect to any activity, event or other matter which is the subject of such license or permit and which activity, event or matter is carried out or exercised on or about
real estate whose owner has neglected or refused to pay any local taxes, fees, assessments, betterments or any other municipal charges.
B. This section shall be administered in accordance with General laws, chapter 40, section 57, as amended from time to time.
(Ord. dated 8/2/95: prior code § 25-11)
Lawrence City Ordinance 5.04.080 - Denial, revocation, or suspension of licenses and permits for failure to pay municipal taxes or charges.
A. The tax collector shall annually furnish to each department, board, commission or division, hereinafter referred to as the licensing authority, that issues licenses or
permits including renewals and transfers, a list of any person, corporation, or business enterprise, hereinafter referred to as the party, that has neglected or refused to pay
any local taxes, fees, assessments, betterments or other municipal charges for not less than a 12-month period, and that such party has not filed in good faith a pending
application for an abatement of such tax of a pending petition before the appellate tax board.
B. The licensing authority may deny, revoke or suspend any license or permit, including renewals and transfers of any party whose name appears on said list furnished to
the licensing authority from the tax collector or with respect to any activity, event or other matter which is the subject of such license or permit and which activity, event
or matter is carried out or exercised or is to be carried out or exercised on or about real estate owned by any party whose name appears on said list furnished to the
licensing authority from the tax collector, as required by applicable provisions of law, and the party is given a hearing, to be held not earlier than 14 days after said notice.
Said list shall be prima facie evidence for denial, revocation or suspension of said license or permit to any party. The tax collector shall have the right to intervene in any
hearing conducted with respect to such license denial, revocation or suspension. Any findings made by the licensing authority with respect to such license denial,
revocation or suspension shall be made only for the purposes of such proceeding and shall not be relevant to or introduced in any other proceeding at law, except for any
appeal from such license denial, revocation or suspension. Any license or permit denied, suspended or revoked under this section shall not be reissued or renewed until the
license authority receives a certificate issued by the tax collector that the party is in good standing with respect to any and all local taxes, fees, assessments, betterments or
other municipal charges, payable to the municipality as the date of issuance of said certificate. Ord. dated 5/3/05)
Massachusetts General Laws (MGL) Ch 40, Section 57. - For full language of this law visit http://www.malegislature.gov/Laws/Search.
(Taxes
Demolition
Liens)
(Water &
Sewer)
(Trash
Tickets,
etc...)
CHECKLIST
VARIANCE REQUIREMENTS
(See Sec. 29-34 – Lawrence Zoning Ordinance)
SPECIAL PERMIT REQUIREMENTS
(See Sec. 29-24 - Lawrence Zoning Ordinance)
APPEAL REQUIREMENTS
(See Sec. 29-32 – Lawrence Zoning Ordinance)
NOTE: This form is to be completed by the petitioner and/or authorized representative and a
copy is to be attached to each application package.
Please check as attached.
I. APPLICATION
1. MUST be typewritten and completed by petitioner or representative.
2. Petitioners are responsible for obtaining the abutters list. The Building Commissioner
will provide you with the Map and Lot #s from the Real Estate Assessor's Map.
Subsequently, you shall obtain the abutters names and addresses from the Assessor's
Office; after the list is completed by the petitioner, the Board’s administrative
assistant will notify the abutters listed. The Assessor's list may not be updated;
therefore the Board strongly recommends that you personally notify your immediate
abutters.
3. MUST have all pertinent information noted, including owners names and signatures.
4. Incomplete applications will not be accepted. ALL signoffs on the Tax Assessment
and Verification Form must be completed before the application is submitted.
II. CERTIFIED SITE PLANS
1. MUST be prepared, sealed and signed by one of the following:
a) Registered Professional Engineer
b) Registered Professional Land Surveyor
c) Registered Professional Architect
d) Registered Professional Landscape Architect
NOTE: A certified Site Plan is not required for Special Permit signage applications:
Special Permit signage applications shall include the graphic information specified in the
attached hand-out shown at a scale and format acceptable to the Lawrence Planning Board.
**_______________
12 copies mandatory
**_______________
12 copies mandatory
(see Article VIII of Zoning Ordinance)
III. FOR VARIANCE REQUESTS ONLY:
1. All plans are to include all existing and proposed Buildings and Structures affected,
as well as the immediate surrounding premises (i.e. abutters) showing proximity of
abutting buildings to petitioner’s lot lines.
2. All plans must include a demographic table which includes all dimensions, setbacks,
area, area per dwelling unit, frontage, open space, parking, actual vs. required and
most important, the requested variance. Failure to include this on the plan could
result in rejection of the entire application.
3. For subdivisions, each plan shall show all dimensions for all lots involved.
4. Incomplete plans will not be accepted.
IV. FOR SPECIAL PERMIT/SITE PLAN APPROVAL REQUESTS ONLY:
1. SITE PLAN REVIEW (see below)
a) If proposed use requires a SITE PLAN REVIEW, the applicant must meet in
person with the Planning Board agent, the Land Use Planner.
b) A copy of the SITE PLAN REVIEW APPLICATION must be submitted with the
Zoning application and procedures for this review must be completed at least two
weeks before the Zoning hearing. (For procedures see Article VIII of the Zoning
Ordinance.)
2. SITE PLAN APPROVAL:
a) If proposed use requires a SITE PLAN APPROVAL, then the Special Permit
Granting Authority is the Lawrence Planning Board and proper procedures for
requesting a meeting with the Board shall be met.
b) If proposed use requires a SITE PLAN APPROVAL, the applicant must meet in
person with the Planning Board's agent, the Land Use Planner to discuss
preliminary site plan(s), technical matters relative to zoning and planning,
required documentation, and the proper completion of the application package for
Special Permit.
REFER TO ARTICLES III, VII AND VIII OF THE LAWRENCE ZONING ORDINANCE
FOR ADDITIONAL INFORMATION.
V. COPY OF LETTER OF REFUSAL OR DENIAL OF BUILDING PERMIT BY THE
BUILDING COMMISSIONER.
REFER TO ARTICLES III, VII AND VIII OF THE LAWRENCE ZONING ORDINANCE.
**_______________
12 copies mandatory
VI. COPY OF PREVIOUS ZONING AND/OR PLANNING DECISIONS INCLUDING
VARIANCES, SPECIAL PERMITS, AND/OR SITE PLAN APPROVAL, ZONING
VIOLATIONS, COURT ORDERS, AND/OR BUILDING PERMITS IF ANY.
VII. COPY OF THE MOST RECENT DEED (CURRENT OWNER (S)) RECORDED AT THE
NORTH ESSEX REGISTRY OF DEEDS. (Include Book and Page numbers or Instrument
number of Recording.)
VIII. PHOTOGRAPHS OF ENTIRE SITE. (different views, if necessary)
IX. CERTIFIED CHECK, CASHIERS CHECK OR MONEY ORDER ONLY. (No personal
checks or cash accepted.)
X. OPY OF THE AUTHORIZATION FORMS.
XI. DATE AND SIGNATURE (S) *** MANDATORY ***
Including: Property owner, Applicant/petitioner (if different) and Applicant/petitioner's
representative.
**_______________
12 copies mandatory
**_______________
12 copies mandatory
**_______________
original plus 11
photocopies of each
mandatory
**_______________
See fee schedule
**_______________
12 copies mandatory
Effective 9-17-10
LAWRENCE ZONING BOARD OF APPEALS
FEE SCHEDULE
Variance $250.00
$200.00
Payable to the City of Lawrence
Payable to the Eagle Tribune
(for advertising expenses)
Special Permit $250.00
$200.00
Payable to the City of Lawrence
Payable to the Eagle Tribune
(for advertising expenses)
Appeal Under
Sec. 29-32
$250.00
$200.00
Payable to the City of Lawrence
Payable to the Eagle Tribune
(for advertising expenses)
Commercial Development as Shopping center, office and/or office retail complex (Any
primarily commercial use with more than three (3) rental/ownership commercial units).
Variance
or Special Permit
$500.00
Payable to the City of Lawrence
Multi Family Development as apartments, condominiums, town houses (Anything more than
three residential dwelling units)
Variance
or Special Permit
$500.00
Payable to the City of Lawrence
VARIANCE OR SPECIAL PERMIT for a SUBDIVISION is $350.00 for the first three (3)
lots and $100.00 per lot thereafter.
______________________________________________________________________________
The petitioner/applicant shall be responsible for payment of any study requested by the Board.
The petitioner/applicant shall be responsible for payment of all costs associated with the Registry
of Deeds.
ONLY CERTIFIED CHECKS, BANK CHECKS OR MONEY ORDERS ACCEPTED.