Finalize: APPLICATION FOR ZONING HEARING "*" indicates required fields Address of property for Variance:Lot & Block # (if no address)Owner InformationName* First Last Phone*Email* Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Applicant InformationName* First Last Phone*Email* Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Request relief I/We hereby request relief from the Zoning Ordinance of Verona Borough and request the Zoning Hearing Board to allow the following construction or relief from the Zoning Ordinance. Request review I/We request the Zoning Hearing Board to review the determination of the Zoning Officer. Contact the Zoning Office for a complete list of matters under the jurisdiction of the Zoning Hearing Board.Verification*I,the above names applicant, hereby verify that the information contained in this application is true and correct to the best of my knowledge, information and belief. This verification is made subject to the penalties of 18 PA C.S. 4904, relating to unsworn falsification to authorities. I have read and agree to the above statement.Property Drawing*Please provide a sketch in the box fellow depicting the following information. All information must be displayed, or the Zoning Permit Application may be deemed incomplete and may be denied. Rough sketch of your property boundary lines. Depict all existing and proposed buildings. Distance (in feet) from the proposed structure to all property lines (front, rear, and both sides). Distance (in feet) from the proposed structure to the primary facility. Distance (in feet) from the proposed structure to any other accessory structures. Note: The measurements listed above are to be measured at the shortest distance between your proposed structure and other structures or lot lines. Accepted file types: jpg, png, pdf, Max. file size: 20 MB. Fee Collected Price: E-signature*Please type your full name in the box below to serve as your electronic signature.