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2. 
4. Applicant Name*
5. Date
   Date
   Make a booking.
7. Phone Number*
8. Email Address*
10. Applicant Address
12. City
13. State
14. Zip Code
18. Property Information

    Please fill out the section below regarding the property in question. 

20. Property Address*
21. Tax Map Number*
23. Present Use
24. Proposed Use
25. Property Dimensions
27. Deed Book Volume
28. Deed Book Page
29. Lot Size
31. Zoning District

    1. RR - Rural Residential
    2. R1 - Low Density Residential
    3. R2 - Medium Density Residential
    4. R3 - High Density Residential
    5. MU - Mixed Use District
    6. B - Business District
35. Request Type

    I hereby request the following of the Zoning Ordinance of Murrysville:

    1. Interpretation of the zoning ordinance or map.
    2. Special Exception to the ordinance which the ZHB must pass
    3. Variance to the provisions of the ordinance
37. Zoning Ordinance Information

    I hereby request an interpretation, special exception or variance of the following Article, Section, Subsection and Paragraph of the Zoning Ordinance:

39. Article
40. Section
41. Subsection
42. Paragraph
44. Variance Request

    I am requesting a variance relating to the:

    1. Use
    2. Area
    3. Frontage
    4. Yard
    5. Height
    6. Other
46. Other
48. Reason for Request*

    Please provide your reasoning as to why the Zoning Hearing Board should approve this request. (If applicable, please be sure to include the grounds for your appeal; the reasoning with respect to law and fact for granting a special exception or variance; or if a hardship is claimed, please state the specific hardship.)

50. Previous Application*

    Has any previous application or appeal been filed in connection with these premises?

    1. Yes
    2. No
52. Project Cost

    What is the approximate cost of work involved?

54. Nearby Properties*

    Please provide a list of names and addresses for all property owners within a distance of 100 feet from the exterior limits of the property involved in this appeal.

56. Additional Documents*

    A copy of the plan of real estate affected showing location and size of lot, the size of improvements now erected or proposed to be erected, or other change desired, together with any other information required by the Zoning Hearing Board, must be attached to this application. 

58. Check "Yes" for Your Electronic Signature*

    1. Yes

    I hereby certify that I am the owner of the property described above or that I have permission by the property owner to file this zoning appeal. I further certify all of the above statements and the statements contained in any papers or plans submitted herewith are true and correct to the best of my knowledge and belief. 

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60. 1. Receive an email copy of this form.
61. Email address

    This field is not part of the form submission.

62. Submit

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