FILE IN TRIPLICATE

TAX MAP NO. ____________________ 			DATE: ________________________

FEE: $ ATTACHED _________________ 			TYPE OF DISTRICT: ________________

APPLICATION AND APPEAL TO ZONING BOARD OF APPEALS OF THE VILLAGE OF BALLSTON SPA 

TO:  Zoning Inspector & the Zoning Board of Appeals of the Village of Ballston Spa, N.Y. 
The undersigned hereby applies to the Zoning Board of Appeals for 

[ ] Interpretation of the Zoning Ordinance, which is requested to define the following sections of the Zoning Law or to resolve the following apparent inconsistency in the law.
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 

[ ]  Special use permit, which is required for following type of use:__________________________________________
_______________________________________________________________________________________________

[ ] Variance to Zoning Ordinance, which is requested for following reasons: (attach explanations if additional space needed) 
    (a) The strict application of the ordinance would result in the following practical difficulties or unnecessary hardship in the USE of the land.
________________________________________________________________________________________________________________________________________________________________________________________________ 
    (b) The hardship is unique and is not shared by all properties alike in the immediate vicinity of this property in that: 
________________________________________________________________________________________________________________________________________________________________________________________________
   (c) The variance observes the spirit of the ordinance and would not change the character of the district, because: 
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

___________________________________________
Signature of Applicant 

___________________________________________
Address 

___________________________________________
Telephone Number 

____Applicant
____Building Inspector   ____Zoning Board