HomeMy WebLinkAbout20211155 212 Lake Use Variance Application **HANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED** IFOROFFICE USEl
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CITY HALL-474 BROADWAY (Date received)
LLr ;u� SARATOGA SPRINGS, NEW YORK 12866-2296
• -A .l TEL: 518-587-3550 X2533
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(Project Title)
APPLICATION FOR:
INTERPRETATION, USE VARIANCE, Check if PH Required 1-1
AREA VARIANCE AND/OR VARIANCE EXTENSION Staff Review
APPLICANT(S)* OWNER(S) (if not applicant) ATTORNEY/AGENT
Name Heather Stewart and Jonathan Faulkner
Address 66 Baker Drive
Gansvoort NY 12831
Phone (518)-222-2957 / / /
heather@appleblossonnbunch.com
Email mr.jon@appleblossombunch.com
Primary Contact Person: pApplicant DOwner Attorney/Agent
*An applicant must be the property owner, lessee,or one with an option to lease or purchase the property in question.
Applicant's interest in the premises: 0 Owner 0 Lessee 0 Under option to lease or purchase
PROPERTY INFORMATION
212 Lake Ave. Saratoga Springs NY
I
I. Property Address/Location: 12866 Tax Parcel No.: 166.13 ,1 9 _
(for example: /65.52-4—37)
Urban Residencial -3
2. Date acquired by current owner:2000 3.Zoning District when purchased:
Urban Residencial-3
4. Present use of property: Early Childhood Private School 5. Current Zoning District: (UR-3)
6. Has a previous ZBA application/appeal been filed for this property?
0 Yes (when? For what? )
❑ No
7. Is property located within (check all that apply)?: 0 Historic District 0 Architectural Review District
0 500' of a State Park,city boundary,or county/state highway?
$. Brief description of proposed action: Continue early childhood program We do not teacher Kindergarten or above,
therefore we are not able to classified as a private school. We must be classified as a day care working with the office of child
and family services.They require papwork from the city to show that the city is aware this is a daycare.We are seeking a use
variance so we can work with the right agency for safety purposes.
9. Is there an active written violation for this parcel? 0 Yes 0 No
10. Has the work, use or occupancy to which this appeal relates already begun? ❑Yes e No
11. Identify the type of appeal you are requesting(check all that apply):
❑ INTERPRETATION (p.2) 0 VARIANCE EXTENSION (p.2) 2 USE VARIANCE (pp. 3-6) 0 AREA VARIANCE(pp. 6-7)
Revised 01/2021
ZONING BOARD OFAPPEALSAPPLICATION FORM PAGE
INTERPRETATION—PLEASE ANSWER THE FOLLOWING(add additional information as necessary):
I. Identify the section(s)of the Zoning Ordinance for which you are seeking an interpretation:
Section(s)
2. How do you request that this section be interpreted?
3. If interpretation is denied,do you wish to request alternative zoning relief? DYes ❑No
4. If the answer to#3 is"yes,"what alternative relief do you request?❑ Use Variance 0 Area Variance
EXTENSION OF A VARIANCE—PLEASE ANSWER THE FOLLOWING(add additional information as necessary):
I. Date original variance was granted: 2. Type of variance granted? 0 Use 0 Area
3. Date original variance expired:
5. Explain why the extension is necessary.Why wasn't the original timeframe sufficient?
When requesting an extension of time for an existing variance,the applicant must prove that the circumstances upon which the original
variance was granted have not changed. Specifically demonstrate that there have been no significant changes on the site, in the
neighborhood,or within the circumstances upon which the original variance was granted:
Revised 01/2021
ZONING BOARD OFAPPEALSAPPLICATION FORM PAGE.3
USE VARIANCE—PLEASE ANSWER THE FOLLOWING(add additional information as necessary):
A use variance is requested to permit the following:
Apple Blossom Bunch Day Care would like to purchase this building (212 Lake) and opporate as a daycare.Attached is a
breakdown which shows that the Waldorf School runs as a Private School because they meet that criteria. Because we do not
teach children over the age of 6 we are required to file as a daycare.We are hopeing the city will allow us to opporate as a
daycare to allow the Office of Child and Family Services to oversee the program for safety.
For the Zoning Board to grant a request for a use variance, an applicant must prove that the zoning regulations create an unnecessary
hardship in relation to that property. In seeking a use variance,New York State law requires an applicant to prove all four of the following
"tests".
I. That the applicant cannot realize a reasonable financial return on initial investment for any currently permitted use on the property.
"Dollars¢s"proof must be submitted as evidence.The property in question cannot yield a reasonable return for the following
reasons:
This is a residencial property, but this building has run as a early childhood center for several year. It has been altered and
modified to meet the needs of an early childhood center. The idea of a residential home setting is a possibility but there would
need to be many alterations to the building.At this point it is a three room building with a half finished basement. It would need
series construction. Prior to it's current use, this building was a local pharmacy and run as such. It has not been used as
residencial home in a very long time, and this makes it very expensive to renovate.
A. Submit the following financial evidence relating to this property(attach additional evidence as needed):
in contract to
I) Date of purchase: purchase Purchase amount: $650.000
2) Indicate dates and costs of any improvements made to property after purchase:
Date Improvement Cost
3)Annual maintenance expenses:$ 4)Annual taxes:$
5)Annual income generated from property:$
6)City assessed value: $ Equalization rate: Estimated Market Value:$
7)Appraised Value:$ Appraiser: Date:
Appraisal Assumptions:
Revised 01/2021
ZONING BOARD OFAPPEALSAPPL/CAT/ON FORM PAGE 4
B. Has property been listed for sale with ❑Yes If"yes",for how long?
the Multiple Listing Service(MLS)? [eNo
I)Original listing date(s): Original listing price:$
If listing price was reduced,describe when and to what extent:
2) Has the property been advertised in the newspapers or other publications? EYes 0No
If yes,describe frequency and name of publications:
3) Has the property had a"For Sale"sign posted on it? DYes D No
If yes, list dates when sign was posted:
4) How many times has the property been shown and with what results?
2. That the financial hardship relating to this property is unique and does not apply to a substantial portion of the neighborhood.
Difficulties shared with numerous other properties in the same neighborhood or district would not satisfy this requirement. This
previously identified financial hardship is unique for the following reasons:
There are no other schools in the area that are an early childhood center being run in this kind of building.
There are two other schools and both are in large commerical buildings. One is a large church property. The other is on the other
side of the Park and it is a public school.This is the only property in the neighborhood that is running as an early childhood center.
This buliding has been approved for this use via private school. (see document)
Revised 01/2021
ZONING BOARD OFAPPEALSAPPLICATION FORM PAGE S
3. That the variance, if granted, will not alter the essential character of the neighborhood. Changes that will alter the character of a
neighborhood or district would be at odds with the purpose of the Zoning Ordinance. The requested variance will not alter the
character of the neighborhood for the following reasons:
The age of the children, amount of families, time of school and even style of care would be close to identical as the previous
owners. Parking is plentiful as the Park is located next door. More details about this are in the attached document.
4. That the alleged hardship has not been self-created.An applicant(whether the property owner or one acting on behalf of the property
owner)cannot claim "unnecessary hardship" if that hardship was created by the applicant,or if the applicant acquired the property
knowing(or was in a position to know)the conditions for which the applicant is seeking relief.The hardship has not been self-created
for the following reasons:
Since the building has been running as a private school, with the same hours, the same number of children and the same ages
of children, this is not a new request.The property is made to serve early childhood programming. It is not self created.
Revised 01/2021
ZONING BOARD OFAPPEALSAPPLICATION FORM PAGE 6
AREA VARIANCE—PLEASE ANSWER THE FOLLOWING(add additional information as necessary):
The applicant requests relief from the following Zoning Ordinance article(s)
Dimensional Requirements District Requirement Requested
Other:
To grant an area variance,the ZBA must balance the benefits to the applicant and the health,safety,and welfare of the neighborhood and
community,taking into consideration the following:
I. Whether the benefit sought by the applicant can be achieved by other feasible means. Identify what alternatives to the variance have
been explored (alternative designs,attempts to purchase land,etc.)and why they are not feasible.
2. Whether granting the variance will produce an undesirable change in the character of the neighborhood or a detriment to nearby
properties. Granting the variance will not create a detriment to nearby properties or an undesirable change in the neighborhood
character for the following reasons:
Revised 01/2021
ZONING BOARD OFAPPEALSAPPLICATION FORM PAGE 7
3. Whether the variance is substantial. The requested variance is not substantial for the following reasons:
4. Whether the variance will have adverse physical or environmental effects on neighborhood or district. The requested variance will not
have an adverse physical or environmental effect on the neighborhood or district for the following reasons:
212 Lake Ave has run as a early childhood center for several years. We are also an early childhood center. No change will effect
the neighborhood. It will remain a similar drop off and pick up time with roughly the same amount of families.
5. Whether the alleged difficulty was self-created(although this does not necessarily preclude the granting of an area variance).Explain
whether the alleged difficulty was or was not self-created:
Revised 01/2021
ZONING BOARD OFAPPEALSAPPL/CAT/ON FORM PAGE 8
DISCLOSURE
Does any City officer,employee,or family member thereof have a financial interest(as defined by General Municipal Law Section 809)in
this application? 0 No 0 Yes If"yes",a statement disclosing the name,residence and nature and extent of this interest must be filed
with this application.
APPLICANT CERTIFICATION
I/we,the property owner(s),or purchaser(s)/lessee(s) under contract,of the land in question, hereby request an appearance before
the Zoning Board of Appeals.
By the signature(s)attached hereto, I/we certify that the information provided within this application and accompanying
documentation is,to the best of my/our knowledge,true and accurate. I/we further understand that intentionally providing false or
misleading information is grounds for immediate denial of this application.
Furthermore, I/we hereby authorize the members of the Zoning Board of Appeals and designated City staff to enter the property
associated with this application for purposes of conducting any necessary site inspections relating to this appeal.
jr 10 2021
Date:
(applicant s nature)
November 10 2021
Date:
(applicant signature)
If applicant is not the currently the owner of the property,the current owner must also sign.
November 10 2021
Owner Signature: Date:
November 10 2021
Owner Signature: Date:
Revised 01/2021
N10G4 � CITY OF SARATOGA SPRINGS
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INSTRUCTIONS
APPEAL TO THE ZONING BOARD FOR AN
INTERPRETATION, USE VARIANCE,AREA VARIANCE AND/OR VARIANCE EXTENSION
APPLICATION REQUIREMENTS
1. ELIGIBILITY:To apply for relief from the City's Zoning Ordinance, an applicant must be the property owner(s)
or lessee, or have an option to lease or purchase the property in question. The Zoning Board of Appeals (ZBA)
shall not accept any application for appeal that includes a parcel which has a written violation from the Zoning
and Building Inspector that is not the subject of the application.
2. COMPLETE SUBMISSIONS: Applicants are encouraged to work with City staff to ensure a complete application.
The ZBA will only consider properly completed applications that contain 1 original and 1 digital version of the
following:
❑ Completed application pages I and 8, the pages relating to the requested relief(p. 2 for interpretation or
extension, pp. 3-5 for use variance, pp. 6-7 for area variance), and any additional supporting materials/
documentation. **HANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED**
❑ Completed SEQR Environmental Assessment Form —short or long form as required by action.
http://www.dec.ny.gov/docs/perm its_ej_operations_pdf/seafpartone.pdf
❑ Detailed "to scale" drawings of the proposed project—folded and no larger than 24"x 36". Identify all
existing and proposed structures, lot boundaries and dimensions, and the relationship of structures to
the lot dimensions. Also, include any natural or manmade features that might affect your property (e.g.,
drains, ponds, easements, etc.).
❑ Photographs showing the site and subject of your appeal, and its relationship to adjacent properties.
3. APPLICATION FEE (NON-REFUNDABLE): Make checks payable to the "Commissioner of Finance".
REFER TO THE CURRENT FEE WORKSHEET INCLUDED IN THIS DOCUMENT.
Check City's website (www.saratoga-springs.org) for meeting dates.
Revised 01/2021
ZONING BOARDAPPEAL APPLICATION INSTRUCTIONS PAGE
PUBLIC HEARING ADVERTISEMENT
The Zoning Board of Appeals is required to hold a public hearing on each submitted application within ninety(90)
days from when it is determined to be properly complete by City staff.
City staff will prepare a legal notice for the public hearing and arrange to have the public hearing
announcement printed in the legal notice section of a local publication at least 5 days before the hearing.
PROPERTY OWNER NOTIFICATION
Applicants are required to mail a copy of the public hearing legal notice to all property owners within the following
distances from the boundaries of the land in question:
Type of variance Distance for property owner notification
Use variance 250 feet
Area variance & Interpretation 100 feet
This notice must be sent at least 7 days but not more than 20 days before the date of the public hearing.
City staff will email a copy of the"property owner notification letter"to the applicant.The applicant must then send
the notification letter to the nearby property owners.Applicants may not include any other materials in this mailing.
The mailing must be certified by the U.S. Post Office. Prior to the public hearing,applicants must present the Post
Office "certificates of mailing" to the ZBA. If"certificates of mailing" are not presented prior to the hearing, the
hearing will be cancelled.
Revised 01/2021
2021 LAND USE BOARD FEE WORKSHEET
OPED Fees Type 2021 Fee
Application to Zoning Board of Appeals[1][2] TOTAL #VARIANCE
Use Variance $1100+$50/app
Area Variance-Residential $275/var+$50/app+$125 eachadd'I variance
Area Variance-Multi-Family,Comm,Mixed-Use $660/var+$50/app+$200 eachadd'I variance
Interpretations $550+$50/app
Post-Work Application Fee Add 50%App fee+$50/app
Variance extensions 50%ofApp fee+$50/app
Application to Design Review Commission[1] TOTAL #STRUCTURE
Demolition I $385
Residential Structures
Principal $55
Accessory $55
Extension $35
Modification $55
Multi-Family,Comm,Mixed-Use Structures
Sketch $165
Principal $550
Extension $200
Modification $330
Multi-Family,Comm,Mixed-Use Accessory,Signs,Awnings
Principal $140
Extension $75
Modification $140
Post-Work Application Fee Add 50%App fee
Application to Planning Board[1] TOTAL #STRUCTURE
Special Use Permit[2] $990+$50/app
Special UsePermit-extension $330
Special UsePermit-modification[2] $450+$50/app
Site Plan Review-incl.PUD:
Sketch Plan $330
Residential $330+$200/unit
Residential-extension $200
Residential-modification $400
Non-residential $660+$130/1000 sf
Non-Residential-extension $300
Non-Residential-modification $650
Subdivision-incl.PUD: TOTAL #LOTS
Sketch Plan I $330
Preliminary Approval[2]
Residential:1-5 lots $660+$50/app
Residential:6-10 lots $990+$50/app
Residential:11-20 lots $1320+$50/app
Residential:21+lots $1650+50/app
Residential-extension $330
Final Approval[2]
Residential $1320+$175/lot+$50/app
Non-Residential $2000/lot+$50/app
Final Approval Modification[2]
Residential $330+$50/app
Non-Residential $550+$50/app
Final Approval Extension
Residential $135
Non-Residential $330
Other: TOTAL #LOT/ACRE
Post-Work Application Fee Add 50%App fee
Lot Line Adjustment $350
Letter of Credit-modification or extension $440
Letter of Credit-collection up to 1%ofLoC
Recreation Fee $2000/lotorunit
Land Disturbance $660+$55/acre
SEQRA EIS Review(Draft&Final) TBD
Legal Noticing if PB requires Public Hearing $50/app
[1] Fees are based on per structure,except where noted. $0.00 TOTAL DUE
[2] Legal ad required;includes City processing and publishing
For Administrative Use
Total Paid at Intake
Revised Fee
Balance Due
/ / Balance Paid Staff approval
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Proposal for Property
212 Lake Avenue
Saratoga Springs" ,
1( ;' j •.
The building at 212 on Lake Avenue in - ,•, "' P.; `' �.
- ;! 0111 ,
Saratoga Springs is adjacent to a large --,;: . ; � ' vii. -
park, known as the East Side Rec. The -.7-L...,' PEED �. .
building has three classrooms and is
. LIMIT5 ri �:;e.. �,
within a fenced in play yard.This site .
has served as a school for the past ten � � •
F
5.,i..a7C$e ,.
years.The building was known as the , -�;
ECC or Early Childhood Center for , ;.:a ,� � = . - {.
the Waldorf School of Saratoga Springs 7_NAM-5 OO •• . � �,-
(See below details on the operations �J iji ' SCHOOL L DAY :ix. . i
of the school) Prior to the school - r
taking residence in this location, it was • i. -,.
a drug store for the local community. Itbii
I= ir�I`II I ;NM
has not been a residential location for " " - •
over fifteen years. The building has ' I11.40. `
been modified over the last fifteen
i
years to support commercial use, and
for the last ten years it has been
modified to function as an educational
facility.
The parking spaces that families used when the school was in operation prior
to the COVID- 19 pandemic, are adjacent to the school. Parking is abundant, and
easily accessible for guests at the neighboring park.The left side of the school site,
Granger Street, provides more than adequate parking.The street is wide with two
sides of street parking.There is also parking for guests that need access to the
baseball fields,this is offered along Lake Avenue, beyond Granger Street.
The Building sits on the corner of Lake Avenue and - . . •
Granger Street. Right outside of the building, along " vi ' .r• , . 212 La ' Ave
Granger Street, is a sign posted by the city stating: : ,.- •r `.. ..1%,,A., de l��
No Parking School Pick Up and Drop Off Monday- �4 - . .` . c • �::
,gyp.
Friday 7:30 am-5:30 pm _ PARKIN " {*' ti
p
This sign was requested by the Waldorf School for ND ` .
M � --..
this site. It is a permanent sin. ['HOP OFF -
. .� -
g J Noi-Fpr } '
9
There is also a crosswalk and a blinking light • F t,w
provided by the city that provides parents and r . ir. . . .
children a way to walk safely across Lake Avenue, on ` Oil&
the opposite corner of Granger Street. The site is
across Granger Street and Lake Ave. There is also a i,..',2,. `'r -i..... _
light that notifies drivers that this is a school zone
two doors down from the building on Lake Avenue
as you approach. .
There are two schools near the site, 212 Grand
ti w°
Ave. It would not be the only school or daycare in . ...... • .
the area. For example, St. Clements is across from . �'
the baseball field on Lake Avenue and eight doors
down from 212 Grand Ave. (the proposed site) St.
Clements is a wonderful school offering day care - f
hours to students under age five,with wrap around I �:
care in addition to their Elementary School. Due to ' - ', -
the fact that they are a religious school, and that St. - .-
Clements also offers Elementary School classes, =7— — --
they do not need to classify their program as a day
care. Owing to all the above facts, St. Clements is outsideY.-
able to be a private school. Furthermore these -;. uiltli ti ar�� w , �:
same factors appertain to any school that offers , •#; r. .ti..
Kindergarten. If Kindergarten isprovided, a school 1 � `` ..y�
g g F . _, -;
may apply to be classified as a private school.
Although our school is technically as a day care, we are academically, a school
running at a high caliber. Nevertheless,we do not offer Kindergarten or any
grades higher,therefore we must be classified as a day care.
1--,
What we are proposing is that a variance .[.
,
from the city be approved to allow this .hi. • '
location 212 Lake Avenue to continue as a .#;
_ 3'
Child Care Center. We are asking to change - __ k'�' ' 1
our classification from a private school,to a ,
daycare. Doing so will insure that we can work
with our licensing agency, The Office of Child '�, ' �,�� •
and Family Services. We are requesting a letter, "
much the same as the letter that was provided �d
to the Waldorf School, but with one change of rc — •
wording.The Waldorf School's letter, states that ir
the site is a private school,we are requesting #� � �
that to be changed to Day Care Center. With Pkith tIN area ,,
this change we will then be able to work with .�
our licensing agency at the Office of Child and
Family Services. .5++ `
r 4711'
The variance needed will allow us to move =` • dr....-
forward with the school's intended use, and to t
do it safely.
I am hopeful that the above statements have demonstrated that the
applicable zoning regulations and restrictions have caused unnecessary hardship.
The alleged hardship relating to the property at 212 Lake Avenue is unique, and
does not apply to a substantial portion of the district, and neighborhood. The
requested use variance, if granted,would not alter the essential character of the
neighborhood.The alleged hardship has not been self created.
I have provided the Waldorf School's information about the program they
ran for the last ten years below. We would like to run a Monday through Friday
program,with children ages 6 weeks-6 years of age. We would like to propose the
hours of 8 am-5:30 pm, as our hours of care.We would like the ability to work
with forty-five families or less. This includes care to part-time and full time
working families. We have always served the working families of Saratoga Springs,
New York, and we are looking forward to the potential of doing so at this site.
The Waldorf School of Saratoga Springs
Example of 212 for the last 10 years
The Waldorf School of Saratoga Springs 212 Early Childhood Building, otherwise
known at the ECC, has hosted children ages 22 months-7 years of age in their
three classrooms. At any given time there would be 25-60 children onsite.The
hours of each mixed age class was different and as follows...
Three and Five-Day Programs
• Ages3to6
• Monday through Friday
• 8:30 AM to 12:30 PM
• Lunch Provided
• Aftercare available with a pick up times of either 3:00 PM or
5:00 PM
Two Day Program
• Ages 22 months to 3
• Tuesday and Wednesday
• Wednesday and Thursday
• 9:00AM to I2:00PM
• Lunch provided
Although the Waldorf School did not classify themselves as a commercial daycare,
they offered similar hours of care to the ones that we are proposing. Under the
law, if a school serves children ages Kindergarten and up in addition to early
childhood, they do not need to be classified as a Day Care and they can work
under a different licensing agency.This agency serves Elementary Schools in New
York State. In addition religious institutions do not need to be classified as a Day
Care.
•
1
A
I
About the Owners of Apple Blossom Bunch Day Care
Mrs. Heather Stewart has been teaching young children for over 18 years.
She is the founder of Apple Blossom Bunch Day Care,which began as a Saratoga
based Home Family Day Care 12 years ago. She then opened Pre-K in the Park 8
years ago, a dynamic program offered in the Saratoga Arts Center building on
Broadway. She holds a certificate from Lifeways Early Childhood Learning in
Waldorf Education and has a B.A in Interdisciplinary Studies from Long Island
University with a concentration in Agriculture. She has completed 3.8 years of a
second undergrad degree, a B.S. in Educational
Studies/Administering Early Childhood - j"
Programming and she has completed more than ,,.
half of the courses toward her National `.`
Administration Credentials. Once a building is . .1
Xs
purchased her plan is to complete this degree �
within the first year. w '
Mrs. Heather chose Saratoga Springs as the
location for her school due to the fact that 1:'"
Saratoga's vision and values align with her own.
Health, above all else, is a guiding principle in
both her programs. Saratoga families find her
school to be personalized for Saratogian families
because of this alignment.
Mr. Jon Faulkner has been working with children as a father of four. Mr.Jon is
originally from Troy, New York, but has lived in Charlotte, North Carolina. Mr.Jon
has lived in Saratoga the last twelve years.While attending college he worked with
developmentally disabled adults for many years. He has a patient nature, and the
children adore him.
Mr.Jon moved on to work as a project manager, and a technical business analyst
for many years. He has worked the last seven years as our financial director. He is
also Mrs. Heather's husband. Heather and Jon became joint partners of Apple
Blossom Bunch Day Care officially 6 years ago.They are equal partners, delivering
two programs that serve the people, and city of Saratoga.The school's reputation
is very strong and our work has spoken for itself as care providers for young
children in Saratoga for 1 1 years.
1 ) The ZBA shall not grant a use variance unless the applicant
has demonstrated that applicable zoning regulations and
restrictions have caused unnecessary hardship. In order to prove
unnecessary hardship, the applicant must demonstrate that for
each and every permitted use for the particular district where the
property is located: The applicant cannot realize a reasonable
return, provided that lack of return is substantial as demonstrated
by competent financial evidence;
2. The alleged hardship relating to the property in question is
unique and does not apply to a substantial portion of the district or
neighborhood;
3. The requested use variance, if granted, will not alter the
essential character of the neighborhood;
4. The alleged hardship has not been self-created.
--------------
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SARATOGA COUNTY. NEW YORK
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ZONING BOARD OFAPPEALS APPLICAT/ON FORM
PAGE 8
DISCLOSURE
Does any City officer,employee,or family member thereof have a financial interest(as defined by General Municipal Law Section 809)in
this application? 0 No 0 Yes If"yes",a statement disclosing the name,residence and nature arid extent of this interest must be filed
with this application.
APPLICANT CERTIFICATION
I/we, the property owner(s), or purchaser(s)/lessee(s) under contract, of the land in question, hereby request an appearance before
the Zoning Board of Appeals.
By the signature(s) attached hereto, I/we certify that the information provided within this application and accompanying
documentation is, to the best of my/our knowledge, true and accurate. I/we further understand that intentionally providing false or
misleading information is grounds for immediate denial of this application.
Furthermore, I/we hereby authorize the members of the Zoning Board of Appeals and designated City staff to enter the property
associated with this application for purposes of conducting any necessary site inspections relating to this appeal.
I
j
Date:November 10 2021
(applicant si nature)
November 10 2021
Date:
(applicant signature)
If applicant is not the currently the owner of the property, the current owner must also sign.
November 10 2021
Owner Signature: qb
Date:
"c \ye N►1e5 , oar cJz-e
Iri Id SGikuvl caxcu 1)'�S November 10 2021
Owner Signature: �J Date:
Revised 0112021