ZONING BOARD OF ADJUSTMENT WHEN COMPLETED, MAIL TO:
APPLICATION FOR CITY OF PHILADELPHIA
DEPARTMENT OF LICENSES AND INSPECTIONS
APPEAL BOARDS ADMINISTRATION
MUNICIPAL SERVICES BUILDING, 11TH FLOOR
agar
canons A/94 7 ones eee 41401 JOHN F. KENNEDY BLVD.
PHILADELPHIA, PA 19102
‘APPLIGANT MUST COMPLETE ALL INFORMATION BELOW. PRINT CLEARLY AND PROVIDE FULL DETAILS.
PROPERTY (LEGAL ADDRESS] = = =
532. Annsbury ST (Thru ot Roosevelt Boulevard)
[COCATION
[PROPERTY OWNER'S NAME: [PROPERTY OWNER'S ADDRESS (INCLUDE CITY, STATE, AND ZIP)
Sec fcr Sn, acaive VP ad Goer Coane Saas
{PORE We foe ec eg ereeres
an ee
‘A CORPORATION MUST BE REPRESENTED BY AN ATTORNEY LICENSED TO PRACTICE IN PENNSYLVANIA.
[APPLICANT —TAPPLICANT'S ADDRESS (INCLUDE CITY, STATE, AND ZIP)
===
IFIRMICOMPANY: fucelaw Grove
Iphone: jaanai7a07 leman: faaspoconcon
RELATIONSHIP TO OWNER: (~TENANTILESEE (@ ATTORNEY (~ DESIGN PROFESSIONAL (~ CONTRACTOR (~ EXPEDITOR (~ OTHER
APPEAL RELATED TO ZONNGIUSE REGISTRATION PERMIT APPLICATION [FST ——
IF A VARIANCE IS REQUESTED, PLEASE PROVIDE AN EXPLANATION OF EACH OF THE FOLLOWING
CRITERIA AS REQUIRED FOR THE GRANTING OF A VARIANCI
= withthe requiremente ofa Zoning code cause an nnaceatary harap dus tothe sae, shape, contous oF phyleal dimensions of Your
ry action on Your part cause or create the special conditions or circumstances? Explain.
The Zing regulon work Unesanale avG The cers put Fa pte ea proposed MnP TONE INES eT BNE BWaTATEN MDT
ance rem ender cing ont
ithe variance you seek represen Ue Tonal modification possible of he vode provision lo provide relief Wom the requirements ofthe Zang cade? Explain
(Te Ta BD eT SRT ow ST apose RO OWT ABET TOTO PT GWG UA TPCT TOIT TET
the variance you seek crea
ongeation in public wreals orn ary way endanger the publie? Expam
ia Th Sed SNS TW SGC TATE
e149 (ar 11") Page 1 of 2
1000780ou seek subitantally oF permanently Rarm Your neighbor use of thelr proparios or impair an adequate supply of ght and arto those
properties? Explain
1 Te proposed ono TOE WA RAT TASS TGR GES or TGOG ie ROSS OPTS
[Will the variance you see substantially crease Walfic congestion in publle teats or place undue burden on water, sewer, school park or other bic
Iactties? Explain 2 ®
The rope ao NGDT TORE WT GEASS TS TACO BERS PIII
the variance you seek create environmental damage, pollllon, erosion, oF silation or increase the danger of coding? Explain,
F Tre apse opal wna ie NSO GC HOTS
[REASONS FOR APE
i ues anopetawar pvled Nowevr here pane sa ar are To prove Dei em eae Gling its sd tae wt Gena HORI TE
ty Planning Corson, The Grenson vequreer woman nasa harp he puso apermite se nd essone eset usted Ue he propery mane
onset th he pce soning repultons
| hereby certify that the statements contained herein are true and correct to the best of my knowledge and belief. |
lunderstand that ifi knowingly make any false statements herein i am subject to possible revocation of any
llicensesissued as result of my false application, and such other penalties as may be prescribed by law.
Applicant's Signature: Date: f2 fis — ors
7 a
WONTH DATE
CITY OF PHILADELPHIA
‘ZONING BOARD OF ADJUSTMENT
[81-49 (Reverse of 1) (Rev. 11112) APPLICATION FOR APPEAL Page 2 of 2)
(000781