BOROUGH OF HARRINGTON PARK - Download Now DOC

							                                    BOROUGH OF HARRINGTON PARK
                                             85 Harriot Avenue
                                   BERGEN COUNTY NEW JERSEY 07640
                     Office of Recording Secretary Board of Adjustment/Planning Board
                                              201-768-1714
                                          FAX: 201-768-3038
                                Email: hpnewsletter@optonline.net


Date:____________________

Application for permit to:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________


Proposed alteration/addition or use is contrary to the Zoning Ordinance due to the following:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________

Description of proposed building or premises:

Name of Owner ____________________________________________________________________________
Address of Owner __________________________________________________________________________
Telephone number ______________________________           e-mail __________________________________
Location of premises ________________________________________________________________________
Block __________     Lot __________
Use of existing building or premises __________________________________________________________
Name of Contractual Party*, if one __________________________________________________________
Address of Contractual Party ________________________________________________________________
Telephone number ____________________________ e-mail ______________________________________
Use of proposed building and premises ______________________________________________________
Size of lot: Front ____________   Rear ____________     Depth _____________
Size of proposed construction ________________________________________________________________
Type of Construction ________________________________________________________________________
Number of stories _________________
Have there been any other variances granted in past _______________
If so, when _____________________     what type of variance ______________________________
State hardships for the need for this variance:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________


I, the undersigned do hereby state that all the above statements, and the statements contained
in the submitted papers are true and correct.


_______________________________________________
Applicant                    Date


***Note: If applicant is other than owner, or purchaser with a bona fide contract of sale, owner
is required to join in the application.