(Township letterhead)
______________________ TOWNSHIP, ________________ COUNTY
FINAL DECISION OF THE _________________ TOWNSHIP ZONING BOARD OF APPEALS
For an appeal by right of this decision to be timely, it must be made to the court of proper jurisdiction within 30 days of the date of this order.
1) Appeal Number: _________________
2) Hearing Date: ___________________
3) Applicant: _____________________________________________
4) Address: ______________________________________________
________________________________________________________
5) Phone: _________________________
6) Purpose of request: (variance, interpretation of zoning map, administrative appeal, other—please specify): ________________________________________________________
________________________________________________________
7) ZBA Findings of Fact:
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
8) ZBA Decision: ________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
9) Reasons for Decision:
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
10) Vote of ZBA Members:
(Yes) (No) ______________________
(Yes) (No) ______________________
(Yes) (No) ______________________
(Yes) (No) ______________________
(Yes) (No) ______________________
11) Signature(s) of Designated ZBA Members:
___________________________________________
___________________________________________
___________________________________________
I, __________________, Secretary of the _____________ Township Zoning Board of Appeals, certify that on this date I witnessed the signatures set forth above and attest to the accuracy of this report.
___________________________________
This page last updated on 8/21/2006.