Notice of Conditional Use Permit Application
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Date:
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To:
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Dear ____________________:
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Please find enclosed a copy of an application to the North East
Township Board of Supervisors for a conditional use permit on my property
located at
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This application seeks permission to:
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Enclosed are all relevant plans in support of this permit.
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Please be advised that I intend to appear for approval of this
application before the North East Township Planning Commission and
Board of Supervisors at their next regular meeting scheduled for ____________,
20___, at _______ o'clock. _____ M. at the North East Township Building,
10300 West Main Road, North East, Pennsylvania 16428.
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Should you have any questions or objections concerning this
application, you must appear at the above meeting to voice same.
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Very truly yours,
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Return receipt requested if delivered in person
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Date
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Affidavit of Service
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TYPE OF PERMIT:
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PERMIT APPLICANT, ADDRESS AND TELEPHONE NUMBER:
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DATE OF PERMIT APPLICATION:
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NAMES AND ADDRESSES OF ALL ADJOINING LANDOWNERS WITHIN 500 FEET
OF YOUR PROPERTY LINE:
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Name
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Address
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METHOD OF SERVICE (circle one):
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1.
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Deputized Sheriff or Constable (please attach copy of service
return).
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2.
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Personal service by person over 18:
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Name of person:
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Address:
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Telephone
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Date of birth:
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3.
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Certified mail, return receipt requested (please attach copies
of return receipts).
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DATE OF SERVICE: ________________________
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I, the undersigned, being duly sworn and under penalty of perjury,
do hereby depose and say that the foregoing information is true and
correct to the best of my knowledge; that service of notice of my
intention to appear before the Planning Commission and Supervisors
of North East Township at the regularly scheduled meeting held on
the _____ day of ____________, 20_____, was made as above set forth.
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