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....ro �Aa CITY OF SALEM, MASSACHUSETTS
BOARD OF APPEAL
n ' 120 WASHINGTON STREET, 3RD FLOOR
SALEM. MASSACHUSETTS 01970
v TELEPHONE: 978-745-9595 n
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FAX 978-740-9846
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KIMBERLEY DRISCOLL
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MAYOR "� c
July 30, 2008 W
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Decision D
City of Salem Zoning Board of Appeals _`� Co
Petition of SUSAN MACFARLANE seeking a Special Permi>r for a'
home occupation to allow for a massage therapy business at 110.Bay�.
View Avenue[R-1].
A public hearing on the above Petition was held on July 16, 2008 pursuant to Mass
General Law Ch. 40A, §§ 11 with the following Zoning Board members present: Robin
Stein, Annie Harris, Richard Dionne, Rebecca Curran, and Bonnie Belair.
Petitioner seeks a special permit pursuant to section § 5-3 of the Salem Zoning Ordinance
to allow for a home occupation at 110 Bay View Avenue.
Statements of fact:
1. Attorney Joseph Correnti presented the petition.
2. Susan MacFarlane is a licensed massage therapist who would like to dedicate one
room in her home to conduct a massage therapy business.
3. The business would have no employees and on an average day would generate
zero to four clients.
4. The petitioner has parking for three cars in her driveway. Two spaces are for her
use, one space is for her tenants use. MacFarlane can control the schedule so that
clients park in her driveway.
5. MacFarlane submitted a petition in favor of the request signed be twenty-six (26)
residents of Bay View Avenue and Cross Avenue.
6. Councilor Steven Pinto, Gifford Scott (26 Bayview Avenue), and Patricia
Michaud (a tenant at 110 Bayview Avenue) spoke in favor of the petitioner's
request at the public hearing.
7. Rosemary Dennis (140 Bayview Avenue) and Cynthia O'Connor(1 Bayview
Avenue) spoke in opposition to the petitioner's request. A letter of opposition
was submitted by Elizabeth Wolfe (95 Bayview Avenue).
2
The Board of Appeal, after careful consideration of the evidence presented at the public
hearing, and after thorough review of the plans and petition submitted, makes the
following findings:
1. The home occupation meets the criteria set forth in 5-3 (b)(1) and is a use allowed
by special permit in an Residential One Family (R-1) Zoning District.
2. A special permit may be granted to allow this request without substantial
detriment to the public good and without nullifying or substantially derogating
from the intent or purpose of the Salem Zoning Ordinance.
On the basis of the above findings of fact and all evidence presented at the public hearing
including, but not limited to, the Plans, Documents and testimony, the Zoning Board of
Appeals concludes:
1. To allow for the home occupation, a special permit may be granted under the
Salem Zoning Ordinance § 5-3 Special Permit Uses.
2. In permitting such change, the Board of Appeals requires certain appropriate
conditions and safeguards as noted below.
In consideration of the above, the Salem Board of Appeals voted, five (5) in favor(Stein,
Harris, Dionne, Belair, and Curran) and none (0) opposed, to grant petitioner's request
for a special permit subject to the following terms, conditions, and safeguards:
1. Petitioner shall comply with all city and state statues, ordinances, codes, and
regulations.
2. All requirements of the Salem Fire Department relative to smoke and fire safety
shall be strictly adhered to.
3. No employees shall be allowed.
4. No clients shall park on the street; clients must park in the driveway.
Robin Stein, Chair
Salem Zoning Board of Appeals
A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK
Appeal from this decision, if any, shall be made pursuant to Section 17 of the Massachusetts General Laws
Chapter 40A, and shall be filed within 20 days of filing of this decision in the office of the City Clerk.
Pursuant to the Massachusetts General Laws Chapter 40A,Section 11, the Variance or Special Permit
granted herein shall not take effect until a copy of the decision bearing the certificate of the City Clerk has
been filed with the Essex South Registry of Deeds.
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Public Prnpertg Department
Nuilbing Department
(One Salem (6reen
500-745-9595 Ext. 300
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer
July 11 , 1995
Raymond MacFarlane Jr.
110 Bayview Avenue
Salem, Mass . 01970
RE : 110 Bayview Avenue
Dear Mr. MacFarlane:
It has come to the attention of this office that you
are illegally renting a basement apartment . The records
in this office show no permit being issued, nor any City
of Salem Board of Appeals approval for allowing a basement
unit .
You are requested to cease and desist of the use of
said apartment, or file necessary paper work to the City
of Salem Board of Appeals requesting approval of the
basement apartment .
Please contact this office within fifteen ( 15 ) days
upon receipt of this letter to inform us as of your course
of action. Failure to do so may result in legal action
being filed against you.
Sincerely,
Leo E . Trembla
Zoning Enforcement Officer
LET: scm
cc: Councillor Ahmed, Ward 1
Mrs . Burns
32 Beach Street
Salem, Mass . 01970
Certified Mail # P 921 991 768
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' ARTICLE
• P 921 991 768 y �
UNE I- NUMBER
yla�tudsltacHat3aaeJr.
110 Bayview Avg.
Salem. Ma. 01470
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INSERT IN STANDARD#10 WINDOW ENVELOPE. 47 , E E R T I F I E U
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RETURN ~
SHOW TO WHOµVETE AND RESTRICTED W
RECEIPT ADDRESS OF OEWERY � DEWERV
CERTIFIED FEE+RETURN RECEIPT
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SERVICE
INNTOTAL POSTAGE AND FEES • ..
INRANCE COVERAGE PROVIDED- W C
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RECEIPT FOR CERTIFIED MAIL o
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STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE,
CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front).
1. If you want this receipt postmarked,stick the gummed stub to the right of the return address of the !V
article,leaving the receipt attached,and present the article at a post office service window or hand
it to your rural carrier(no extra charge).
2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address
of the article,date,detach and retain the receipt,and mail the article.
3. If you want a return receipt,write the certified-mail number and your name and address on a return
receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space
permits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED
adjacent to the number.
4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee,endorse
RESTRICTED DELIVERY on the front of the article.
5. Enter fees for the services requested in the appropriate spaces on the front of this receipt.If return .,
receipt is requested,check the applicable blocks in item 1 of Form 3811.
6. Save this receipt and present it if you make inquiry.
t
ca CITY OF SALEM MASSACHUSETTS
BOARD OF APPEAL
f
120 WASHINGTON STREET, 3RD FLOOR
11 �12o SALEM, MA 01970
ry3�cr �" TEL. (978) 745-9595
�7�n¢ FAX (978) 740-9846
STANLEY J. USOVICZ, JR. o n
MAYOR
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DECISION ON THE PETITION OF SUSAN MACFARLANE REQUESTING A SPECIo mD
PERMIT FOR THE PROPERTY LOCATED AT I-t ,BAY_VIEW AVENUE R-2 rn
A hearing on this petition was held on July 17, 2002 with the following Board Members
present: Nina Cohen, Richard Dionne, Nicholas Helides, Bonnie Belair and Joan
Boudreau. Notice of the hearing was sent to abutters and others and notices of the
hearing were properly published in the Salem Evening News in accordance with
Massachusetts General Laws Chapter 40A.
Petitioner is requesting a Special Permit to conduct a business from the residence for
the property located at 110 Bay View Avenue located in an R-2 Zone.
The provision of the Salem Zoning Ordinance which is applicable to this request for a
Special Permit is Section 5-3 0), which provides as follows:
Notwithstanding anything to the contrary appearing in this Ordinance, the Board of
Appeal may, in accordance with the procedure and conditions set forth in Sections 8-6
and 9-4, grant Special Permits for alterations and reconstruction of nonconforming
structures, and for changes, enlargement, extension or expansion of nonconforming lots,
land, structures, and uses, provided, however, that such change, extension,
enlargement or expansion shall not be substantially more detrimental than the existing
nonconforming use to the neighborhood.
In more general terms, this Board is, when reviewing Special Permit requests, guided by
the rule that a Special Permit request may be granted upon a finding by the Board that
the grant of the Special Permit will promote the public health, safety, convenience and
welfare of the City's inhabitants.
The Board of Appeal, after careful consideration of the evidence presented at the
hearing and after reviewing the plans, makes the following findings of fact:
1. The petitioner Susan MacFarlane appeared and represented herself at the hearing.
2. Petitioner explained how she would like to run a Holistic Massage & Polarity Therapy
practice out of her home.
3. The petitioner's property is a two family residence.
4. Ms. MacFarlane has 3 parking spaces at her residence. Her tenant hast space and
herself and her husband have 2 spaces.
5. There were two letters submitted in opposition to the petition. One from Elizabeth
Wolfe of 95 Bay View Ave. and another from Cynthia O'Connor of 100 Bay View
Ave.
1 -
DECSION OF THE PETITION OF SUSAN MACFARLANE REQUESTING A SPECIAL
PERMIT FOR THE PROPERTY LOCATED AT 110 BAY VIEW AVENUE R-2
page two
6. A petition with 11 names in support of the petition was submitted.
On the basis of the above findings of fact, and on the evidence presented, the Board of
Appeal concludes as follows:
1. The Special Permit requested cannot be granted without substantial detriment
to the public good or without nullifying and substantially derogating from the
intent of the district or the purpose of the ordinance.
2. The granting of the Special Permit requested will not be in harmony with the
Neighborhood and will not promote the public health, safety, convenience and
Welfare of the City's inhabitants.
Therefore, the Zoning Board of Appeal voted 2 in favor and 3 in opposition to the motion
to grant the relief requested. Having failed to garner the four affirmative votes required
to pass, the motion to grant fails and the petition for a Special Permit is denied.
Special Permit Denied k
July 17, 2002 C, rC4
oseph Barbeau, Member C,::-�
Board of Appeal �cCz
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A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND
THE CITY CLERK
Appeal from this decision, if any shall be made pursuant to Section 17 of MGL Chapter
40A and shall be filed within 20 days after the date of filing of this decision in the office of
the City Clerk. Pursuant to MGL Chapter 40A, Section 11, the variance or Special
Permit granted herein shall not take effect until a copy of the decision, bearing the
certification of the the City Clerk that 20 days have elapses and no appeal has been
filed, or that, if such appeal has been filed, that is has been dismissed or denied is
recorded in the South Essex Registry of Deeds and indexed under the name of the
owner of record or is recorded and noted on the owner's Certificate of Title.
Board of Appeal
Coity of 3ttiPm, Mali s ar4us etts
Public Wapertg Department
Nuilhing Department
{Ane 6alem (6reen
58B=745-9595 Ext. 388
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer
July 11 , 1995
Raymond MacFarlane Jr.
110 Bayview Avenue
Salem, Mass . 01970
RE : 110 Bayview Avenue
Dear Mr. MacFarlane:
It has come to the attention of this office that you
are illegally renting a basement apartment . The records
in this office show no permit being issued, nor any City
of Salem Board of Appeals approval for allowing a basement
unit .
You are requested to cease and desist of the use of
said apartment , or file necessary paper work to the City
of Salem Board of Appeals requesting approval of the
basement apartment .
Please contact this office within fifteen ( 15 ) days
upon receipt of this letter to inform us as of your course
of action. Failure to do so may result in legal action
being filed against you.
Sincerely,
v
Leo E . Tremblay
Zoning Enforcement Officer
LET: scm
cc: Councillor Ahmed, Ward 1
Mrs . Burns
32 Beach Street
Salem, Mass . 01970
Certified Mail # P 921 991 768
2
CITY OF SALEM - MASSACHUSETTS
ROBERT A. LEDOUX Legal Department LEONARD F FEMINO
City solicitor 93 Washington Street Assistant city solicitor
508-745-IM Salem, Massachusetts 01970 508.821'1990
August 23, 1994
Mr. Leo E. Tremblay
Zoning Enforcement Officer
City of Salem
Public Property Department
One Salem Green
Salem, Massachusetts 01970
RE: 110 Bayview Avenue, Salem, Massachusetts
Dear Mr. Tremblay:
I have reviewed the materials you provided to me concerning the legal use of the
above-referenced property. Based on the letters provided by long-term neighbors to the
property, the building has been used as a two-family residence for nearly fifty years. Based
on such use, it is my opinion the building is a protected grandfathered two-family building
and can be indicated as such in the building department records.
If there is anything further that you require, please let me know.
Very truly yours,
�b
Robert A. Ledoux
RAL:ms
9443.05
Tifu of %lem, massac4usletts
Publtc 1propertV Mepartment
$uilibing Department
Mot Balem 6reen
500-745.9595 Ext. 300
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer
August 24, 1994
Raymond & Susan MacFarlane
110 Bayview Ave.
Salem, Mass. 01970
RE: 110 Bayview Ave.
Dear Raymond & Susan:
According to the records supplied to the City Solicitor, it has
been determined that 110 Bayview Ave. is a lawful nonconforming two
(2) family dwelling located in a Residential One (1) Family District.
This is to determine use only and in no way is ment to confirm
or deny whether said property is in compliance with all building,
plumbing, gas, electric, fire or health codes.
Sincerely,
/ rr
Leo E. Tremblay
Zoning Enforcementfficer
LET: scm
cc: Robert LeDoux
George Ahmed, Ward 1
Assessors Office
(�itg of ttlPm, Masoac4usetts
Public Prnpertg Bepartment
illuilbing Department
(Out Belem (green
500-745-9595 Ext. 300
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer
May 17, 1994
Robert Ledoux, Esq.
City Solicitor
City of Salem
RE: 110 Bay View Avenue (R-1)
Dear Mr. Ledoux:
Will you kindly peruse the enclosed data to determine the legal use of
the above referenced property, I am unable to locate any data in this office
to verify this as a two family dwelling. The property is located in a
Residential Single Family District.
This is to determine use only and in no way is meant to confirm or deny
whether said property conforms to building, electrical, gas, plumbing, fire or
health codes.
Sincerely,
s
Leo E. Tremblay
Zoning Enforcement Officer
LET:bms
Enclosures
RAYMOND & SUSAN MacFARLANE
110 Bay View Ave.
Salem, MA 01970
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iQ7 ✓w� o11Q lYte 24 �j - ena0 v_7'�p f �1S' v ee �crw Parta �
a,ivbevt j /2 pp/� a on Q TiK. tt tie ,4..e.F;uu.a�Qy Con.Q.tC&- -
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CO:a�.M nn i LI.0 K aL tpL/,
COMMONWEALTH OF MASSACHUSETTS
ESSEX, ss July 26 , 1991
Then personally appeared the above named Mary C. Wilson
and acknowledged the foregoing instrument to be her free
act and deed, before me .
NOTARY UBLIC
My Com fission
October 16 , 1992
I /O •tBr r�� fir, I • �
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COMMONWEALTH OF MASSACHUSETTS
ESSEX, ss July 26 , 1991 '
Then personally appeared the above named Marion
L. Manning and acknowledged the foregoing
instrument to be her ee act deed, efore me.
NOTAR PUBLIC
My Commission Expires :
October 16, 199
July 19 , 1991
Mr . Raymond MacFarlane
110 BayView Ave .
Salem , Ma . 01970
Dear Ray ,
Per your request of 7-18-91 , I hereby state that
in 1948 I purchased my property on 104 Bayview
Ave . in Salem . At that time the property at
110 Bayview Ave . was a three family house . 1
recall that a few years later your father purchased
the property and to my knowledge it has always been
either a three or two family dwelling .
Please feel free to call me if you have any questions .
Sincerely ,
William F . Nolan
Notarized by
hilC rchil`l r
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Dec i
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(�itv of ,�ttlem, �3Httssttcl�usP�.� _
_ Poarb of Au}TPtt! ;IT Ci rr: :.
DECISION ON THE PETITION-OF-RAYMOND MACFARLANE FOR
VARIANCES FOR`110AY NUE BVIEW AVE0-1 )
A hearing on this petition was held December 7, 1988 with the following Board
Members present: James Fleming, Chairman; Messrs. , Bencai, Nutting, Strout & Assoc-
iate LaBrecoue. Notice of the hearing was sent to abutters and others and notices
of the hearing were properly published in the Salem Evening News in accordance
with Massachusetts General Laws Chapter 40A.
Petitioner, owner of the property, is requesting variances from setback and
density requirements to allow construction of a deck with an attached spiral
staircase in this R-1 district.
The Variance which has been requested may be granted upon a finding of the
Board that:
a. special conditions and circumstances exist which especially affect the
land, building or structure involved and which are not generally affecting
other lands, buildings and structures in the same district;
b. literal enforcement of the provisions of the Zoning Ordinance would involve
substantial hardship, financial or otherwise, to the petitioner;
c. desirable relief may be granted without substantial detriment to the public
good and without nullifying or substantially derogating from the intent of the
district or the purpose of the Ordinance.
The Board of Appeal, after careful consideration of the evidence presented at the
hearing, and after viewing the plans, makes the following findings of fact:
1 . There was no opposition;
2. Other abutting homes have similar decks over looking the ocean;
3. Topography of the lot runs down to the water making this the most
feasible location for the deck;
4. Deck is necessary for rear egress.
On the basis of the above findings of fact, and on the evidence presented, the
Board of Appeal concludes as follows:
1 . Special conditions exist which especially affect the subject property but
not the district generally;
2. Literal enforcement of the provisions of the Ordinance would work a
substantial hardship on the petitioner;
3. The requested variances can be granted without substantial detriment
to the public good and without nullifying or substantially derogating from
the intent of the district or purpose of the Ordinance.
r
DECISION ON THE PETITION OF RAYMOND MACFARLANE FOR
VARIANCES AT 110 BAY VIEW AVE. , SALEM
page two
Therefore, the Zoning Board of Appeal voted unanimously, 5-0, to grant the
relief requested, subject to the following conditions:
1 . All provisions of the Salem Fire Department relative to smoke and
fire safety be strictly adhered to;
2. All construction be in done in accordance with all state and local
codes and as per plans submitted;
3. All dimensions be as per plans submitted;
4. A building permit be obtained.
GRANTED
Peter Strout, Member, Board of Appeal
A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK
I,PPEAL FR, TI"r'E _^3':L"I"I7. !: i 7Y. SHALL CE WADE PURSUANT TO SECTION 17 OF THE
�,� _ p;", J iii F iii LO DAYS AFTER THECENERAL O,1TE C7
CF 1!"E :i.__ l.- [JTY L RS.
;t..62U Eu �'i0 iWicU U.. Tri' O,;NER S CERTIFICATE OF R L°
BOARD OF APPEAL
CITY OF SALEM ,
BUILDING DEPARTMENT
CITY HALL ANNEX3
P Mimi
ONE SALEM GREEN o
SALEM, MASSACHUSETTS 01970 r
inom[::"`
Raymond MacFarlane Jr. .�
'moo IJPIC�AIMED >
t�1C� 010
1,11
SENDER:
( Complete items 1 and/or 2 for additional services. I also wish to receive the
h . complete items 3,and 4a A b. following services(for an extra fee): r
• Print your name and address on the reverse of this form so that we can return this card
to you 1. ❑ Addressee's Address
Attach this form to the front of the mailpiece,or on the back if space does not permit.
• Write'Return Receipt Requested"on the mailpiece below the article number. 2. ❑ Restricted Delivery
date
of deliver,The Return Receipt Fee will provide you the signature of the person delivered to and the Consult postmaster for fee.
3.Article Addressed to: 4a.Article Number
LINE 1' P 921 991 768
T
4b.Service Type o
110 Lays fie« hvl z
(),1970(),1970CERTIFIED
I I �
T.Date of Delivery m
I i �
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5.Signature —(Addressee) 8.Addressee's Address
rin
(ONLY if requested and fee paid.)
6.Signature—(Agent)
I
I
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PS Form 3811,November 1990 DOMESTIC RETURN RECEIPT i
(fitg of t'�§UJCM, .4Vttssttr4uoPtts
Public PrupertV Department
'Building Department
(One i+alem (6reen
500-745-9595 text. 300
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer
July 11 , 1995
Raymond MacFarlane Jr.
110 Bayview Avenue
Salem, Mass . 01970
RE : 110 Bayview Avenue
Dear Mr . MacFarlane:
It has come to the attention of this office that you
are illegally renting a basement apartment . The records
in this office show no permit being issued, nor any City
of Salem Board of Appeals approval for allowing a basement
unit .
You are requested to cease and desist of the use of
said apartment, or file necessary paper work to the City
of Salem Board of Appeals requesting approval of the
basement apartment .
Please contact this office within fifteen ( 15 ) days
upon receipt of this letter to inform us as of your course
of action. Failure to do so may result in legal action
being filed against you .
Sincerely,
Leo E . Tremblay
Zoning Enforcement Officer
LET: scm
cc : Councillor Ahmed, Ward 1
Mrs . Burns
32 Beach Street
Salem, Mass . 01970
Certified Mail # P 921 991 768
,r
fL�l16~*EffL494N9 APPROVED BY TM
J UIRACM-PRIQR TD A.PEAWBPJNG GRANTED
NP�JD CITY OF SALEM
Day si �a vs
WOrd
by lcectcd h Location of
h ROMmYLmabdfn
Do C newwwon MR? YM No
Permit to: BUILDING PERMIT APPLICATION FOR:
(Circle whichem apply) Roof, Install Siding, Co wvw Deck, Shed, Pool,
Repair epka, Other.
PLEASE RLL OUT LEGIBLY i COMPLETELY TO AVOID DELAYS IN PROCESSM
TO THE INSPECTOR OF BUILDINGS: '
The undersigned hereby applies for a permit to build accordLmg..to ft foNov*V'
Owws Name LV Ac �APJAN,C— /
Address& Phone jib 2a,, Vre� AL, 4130 - ')a93
AmhkKt's Name /;1A
Address a Phone n //' ( ► /V IA-
Mechanics Name -�1A
Address 6 Phone IV N I
Whtl b Mw p mpm of 6uMdYip9
vAmm of bWdnO? / ' Lj for how mmy ImiaM7 1
wa kAdhg sacra..to low? Yes MOcao.4 )y
F.wnrt.d aoa O, v CRY UJ r�rAb Lbww s Lt//G4
Lie. 0� t . k �
Signmure of Applicant
STONED UNDER THE PENALTY'
OP PERJURY
DESCRIPTION OF WORK TO BE DONE
c
(spa L1 cn f it P yvt o v e
IWUL T0: G4 -e 1 c. �ti c
No
APPLICATION FOR
PEFOW TO
5TRe P � 16K-kd-07�-_ _
LOCATION
PERMIT GRANTS
k / z
APPROVPD
OR of ENJILDINGS .
". CITY OF SALEMy MASSACHUSETTS
PUBLIC PROPERTY DEPARTMENT
,.� 120 WASHINGTON STREET, 3Ro FLOOR
SALEM, MA O1970
TEL. (978)745-9595 ExT. 380
FAX (978) 740-9846
STANLEY J. LISOVICZ, JR.
MAYOR
DISPOSAL OF DEBRIS AFFIDAVIT
In accordance with the provisions of MGL c 40, S34,I acimowledge that as a condition
of Building Permit# ,all debris resulting from the construction activity
governed by this Building Permit shall be disposed of in a properly licensed solid-waste
disposal facility,as defined by MGL c III, S 150A.
The debris will be disposed of at: r3 Z , 3,(o Cia.4i o r 'S:�( ex Il
Location of Facility
Signature of Permit Applicant Date
FULLY complete the following information:
(PLEASE PRINT CLEARLY) t�
USA IV Q✓1_ !"(tic 7A2dAxl-C
Name of Permit Applicant
N14
Firm game,if any
lin Ave -\. )14,& n M/a-
Address, City& State
The above statute requires that debris from the demolition, renovation, rehab or other
alteration of building or structure be disposed in a properly-licensed solid-waste disposal
facility as defined by MGL cIII,S 150A, and the building permits or licenses are to
indicate the location of the facility.
CITY OF SAIEM
BLWINGDEPARTly M
HONEOWM LICENSE EDEWynON
Pksse PAN
XBWCATI011.��r _ A _ /P A4,4
*HOmwi tm 9 r7 P - 5/ 3 0 - 7.2 9 3 TELEPHOMB
PAESENTMA�'?GADDRESf //0 �xlA i Vi :�� >��iz •
7 he cmrar.an mptlao d9srmeowwe was=mow to Irctude owsct-oewpw.dwsHi o[TWo
train a•less and a albw aneb 1!omcowsers to aysie sa bidlvidglla ldrs trbo doe sot ptwes• .
lkcme,.pwided tbx the ewssr sel o a�snissa .
DErR4nOMOPHOMZOWMft
Person(s)ww owm a psrat d knd ca wbkh htw a resides or bacnds u resift=%W&tmn krk
injaAW to K s arc to two lasd4 dwcgk&sasdad a dwdwd muesse�ae7
farm strwww A ptnm wbo constructs mac gm ax taws k s twoytae PcdW*a sotbe tansidm d
a bosrmM. Snob`wmww•sef ststltsubmit to the BuDdind OJT+od. � �
Suildmj pdicial,tlat brJshe be t<sponn'bk to a8 tufi wait pesfacmed
The ww=ivxd nwmwwnee'asana Tspann My far wmp>1=w bb t n Sun Bun ft Cods:ad '
other appbobk Soo by4m,ruin sad sepbd=t
The w,dersiprd Rwmeowsd•ocro5a*a bel"nnderstards*g CiW of Sokrs Bdldlsi Dgwoma.
R%Wmwn bspwdm proadmes=4 squuemems snd tbst hWK will wmpq with aid poondow ad
HOMEOWNER'S SIGNATURE
APPROVAL OF BLWING IIMSPHC'POA z
See other ode for sax code
HOMEOWNER'S EXEMPTION
The cods sutes t}aC -uq Ieowatiperforrc wsdk tot wMcb 6aDd �ie�ui sbe/M _
excmpl trom da ptnisiom of tbb senka CSentes ItPJJ r lJeznstas d GmrdCd .sapervImO
Provided that b a bomeotrrra e:Wie+!person(s)feu Mrs to do.such wsa]r.that sn�botaeowaa shaTi tal
tt topaviaat.' ,
Mop kmwwmn srbo on tMt sxemptfao are ivatrats*a tbry are ammaing tha vegandbilldw dd
arpervLor(sec Appeodz Q,Ruks and RtSulottons for 1Je<osini Construction SupenrboM seel�w
d tssc
.2.206 TMsb&cfsv+aew w bb a
urikeraed peroom In tbb assc yom Bald wmot proceed a jabat the mtocsmeo psfrm w kv=M vd&
Itaased Sapet+isor. 71e bomeoexr sdioS u apervber r aYfasste�tsstosuNla,
To ent+vs that the homeorrrrcr bluib uwarc d Mfier•respoaib�ronq oommmddea tegdre;•patt .
of the perm i sppiteadon,that the bomovaner calify Om b&Wa aswin a>,dt the respossbtadtt de
AWavbm You mq care to amend and adopt such a immkcrtMcsdan Sur ins in your eommmtR