APPLICATION FOR APPEAL
FROM AN ADMINISTRATIVE DECISION
To: Board of Adjustment Case No. ________
Town of Kensington Map ___ Lot _____
Date filed________
________________
(signed)
Name of Applicant ____________________________________(___)_______________
Phone #
Owner _________________________________________________________________
Location of Property ______________________________________________________
(street, number, subdivision and lot number)
Relating to the interpretation and enforcement of the provisions of the land use ordinance. Decision of the enforcement officer to be reviewed, ______________________________
________________________________________________________________________
________________________________________________________________________Article _________ Section __________ of the ordinance in question. _______________
________________________________________________________________________________________________________________________________________________________________________________________________________________________ Signed _________________________________ Date________
(Applicant)
The Applicant is responsible for supplying the names and addresses of all *abutters to the property concerned including the names and addresses of any Engineer, Architect, Land Surveyor or Soil Scientist whose professional seal appears on the plat and holders of Conservation, Preservation or Agricultural Preservation Restrictions per RSA 477:45.
*For purposes of Notification: RSA 672:3-“Abutter” means any person whose property is located in NH and adjoins or is directly across the street or stream from the land under consideration…
The Applicant is to include addressed envelopes with addressed postal certification slips and Return Receipt cards for each of the abutters to be notified or 3 sets of labels.
Please List Current Abutters For Legal Notification Purposes:
Name Address Zip Code Map# Lot#
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________________ ____________
Signature of Applicant Date