Zoning Hearing Board Appeal - Bensalem Township
Zoning Hearing Board Appeal - Bensalem Township
Zoning Hearing Board Appeal - Bensalem Township
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BENSALEM TOWNSHIPBuilding and Planning Department2400 Byberry Road ▪ <strong>Bensalem</strong> PA 19020215-633-3644 ▪ FAX 215-633-3653<strong>Zoning</strong> <strong>Hearing</strong> <strong>Board</strong>Exhibit Z-4<strong>Appeal</strong> Number:<strong>Township</strong> of <strong>Bensalem</strong>, Bucks County, PennsylvaniaNotice of <strong>Appeal</strong><strong>Appeal</strong> is hereby made by the undersigned from the action of the <strong>Zoning</strong> Officer.Check applicable item(s):Certification of Non-Conforming UseApplication for Validity ChallengeAdministrative Officer in refusing my application for a building permit dated:Special ExceptionVariance from the terms of the <strong>Zoning</strong> Ordinance of the <strong>Township</strong> of <strong>Bensalem</strong>Appellant Name:Address:Phone No.Owner’s Name:Address:Phone No.Attorney Name:Address:Phone No.Interest of appellant, if not owners (agent, lessee, etc.):4