Speical Exception Application
PEQUEA TOWNSHIP
1028 MILLWOOD ROAD
WILLOW STREET, PA 17584
É(717) 464-2322
Ê(717) 464-4098
~ pequeatw@comcast.net ~
APPLICATION FOR A SPECIAL EXCEPTION
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Please Read the Following: Please complete each part of this application and pay the application fee of $350.00. Section 2206 of the Pequea Township Zoning Ordinance requires that each application must be accompanied with a number of items, including a site plan with sufficient detail and accuracy to demonstrate compliance with all applicable provisions of the Ordinance. Zoning Ordinance Section 1903 requires that you also submit all the information listed in Section 2003. Please submit two plans, drawn to scale. If you do not submit everything that the Ordinance requires, your hearing may not be scheduled or your application may be denied for failure to comply with these requirements. Sign the application on the next page.
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1. Applicant’s name: _______________________________________________________________
2. Applicant’s address:______________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
3. Applicant’s telephone: (day)___________________________(after-hours)___________________
4. Owner’s Name and Signature:______________________________________________________
(I authorize the applicant to make this application)
5. Owner’s Address:________________________________________________________________
6. Address or property involved:_______________________________________________________
7. Explain the purpose for which a special exception is being sought:
_______________________________________________________________________________
______________________________________________________________________________
8. What section(s) of the Zoning Ordinance allow the special exception that you are requesting?
______________________________________________________________________________
9. In what zoning district is the property located?:_________________________________________
10. Whose name is on the deed to the property? __________________________________________
11. Who is the legal owner?___________________________________________________________
12. Please read and agree to the following:
c I have read Section 2003 and 2206 of the Pequea Township Zoning Ordinance, and I know what I must do in order to submit a complete application.
c I have included two sets of scaled drawings, drawn to scale, showing the actual dimensions and shape of the lot, and the size and location and dimensions of the proposed use, building or alteration.
c My application includes a written description of the proposed use.
c I have read Article XIX of the Pequea Township Zoning Ordinance.
I hereby apply for a special exception. I agree to pay the filing fee and understand that I have no right to expect a hearing to be scheduled until I have paid the fee, and filed all necessary documentation as required by the Pequea Township Zoning Ordinance. I have read the forgoing and affirm that it is true and correct and to the best of my personal knowledge, or information and belied. I verify that all the statements made in the forgoing are true and correct and that false statements may subject me to the penalties of 18 Pa. C.S. Section 4904.
APPLICANT’S SIGNATURE: __________________________________________
Date:
