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Application: _______________
Date Submitted: ____________
Date Received: ____________
Zoning Application
1. Application is hereby made for:
Special Exception Variance
Appeal of the decision of the zoning officer
Conditional Use approval Interpretation of the Zoning Ordinance
Other ___________________________________________________
2. Section of the Zoning Ordinance from which relief is requested:
_____________________________________________________________________________
3. Address of the property, which is the subject of the application:
_____________________________________________________________________________
4. Applicant’s Name: ___________________________________________________________
Address: ____________________________________________________________________
Phone Number (daytime): _____________________________________________________
E-mail Address: _____________________________________________________________
5. Applicant is (check one): Legal Owner ; Equitable Owner ; Tenant.
6. Property Owner: _____________________________________________________________
Address: ____________________________________________________________________
Phone Number: _____________________________________________________________
E-mail Address: _____________________________________________________________
7. Lot Dimensions: _____________________Zoning District: ________________________
BOROUGH OF CONSHOHOCKEN
400 Fayette Street, Suite 200, Conshohocken, PA 19428
Phone (610) 828-1092 Fax (610) 828-0920
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8. Has there been previous zoning relief requested in connection with this Property?
Yes No If yes, please describe.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
9. Please describe the present use of the property including any existing improvements
and the dimensions of any structures on the property.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
10. Please describe the proposed use of the property.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
11. Please describe proposal and improvements to the property in detail.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
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12. Please describe the reasons the Applicant believes that the requested relief should be
granted.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
13. If a Variance is being requested, please describe the following:
a. The unique characteristics of the property: ________________________________
__________________________________________________________________________
b. How the Zoning Ordinance unreasonably restricts development of the property:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
c. How the proposal is consistent with the character of the surrounding
neighborhood. ____________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
d. Why the requested relief is the minimum required to reasonably use the
property; and why the proposal could not be less than what is proposed.
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
14. The following section should be completed if the applicant is contesting the
determination of the zoning officer.
a. Please indicate the section of the zoning ordinance that is the subject of the
zoning officer’s decision (attach any written correspondence relating to the
determination).
______________________________________________________________________
__________________________________________________________________________
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b. Please explain in detail the reasons why you disagree with the zoning officer’s
determination.
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
15. If the Applicant is requesting any other type of relief, please complete the following
section.
a. Type of relief that is being requested by the applicant.
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
b. Please indicate the section of the Zoning Ordinance related to the relief being
requested.
__________________________________________________________________________
c. Please describe in detail the reasons why the requested relief should be granted.
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
16. If the applicant is being represented by an attorney, please provide the following
information.
a. Attorney’s Name: ______________________________________________
b. Address: _____________________________________________________
c. Phone Number: _______________________________________________
d. E-mail Address: _______________________________________________
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I/we hereby certify that to the best of my knowledge, all of the above statements contained in
this Zoning Application and any papers or plans submitted with this application to the
Borough of Conshohocken are true and correct.
_____________________________________________
Applicant
_____________________________________________
Legal Owner
_____________________________________________
Date
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF MONTGOMERY
As subscribed and sworn to before me this _____________________ day of
_______________________, 20____.
_____________________________________
Notary Public
(Seal)
400 Fayette Street, Suite 200 | Conshohocken, PA 19428|Phone: (610) 828-1092|Fax: (610) 828- 0920|www.conshohockenpa.org
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(For Borough Use Only)
Application Granted Application Denied
MOTION:
CONDITIONS:
BY ORDER OF THE ZONING HEARING BOARD
Yes No
___________________________________
___________________________________
___________________________________
___________________________________
___________________________________
DATE OF ORDER: ______________________________
400 Fayette Street, Suite 200 | Conshohocken, PA 19428|Phone: (610) 828-1092|Fax: (610) 828- 0920|www.conshohockenpa.org
Decision
BOROUGH OF CONSHOHOCKEN
400 Fayette Street, Suite 200, Conshohocken, PA 19428
Phone (610) 828-1092 Fax (610) 828-0920