HomeMy Public PortalAboutForm D- Appeal to OKH Regional CommissionPETITION FOR APPEAL (FORM-D)
For Appeal filing procedure see: Docket No.
972 CMR Section 1:02 & 1:03 Date Filed
RULES AND REGULATIONS (The above for Official use only)
(PLEASE TYPE OR PRINT)
Old King's Highway Regional Historic District Commission
P. Box 140, Barnstable, MA 02630 Telephone: 508-775-1766
Appellant
Town of
Old King's Highway Regional Historic District Committee
1. This is an appeal from the above listed town Committee's decision (a copy is attached)
on 's application for
(Applicant's name) (Project)
located at
and (approved / disapproved) by the local town's historic district Committee on
and filed with the Town Clerk on
(Dated) ( Date)
2. The reason for this appeal is:
further remarks arc needed, attach additional 8 I sheet)
3. The relationship of the appellant to the subject of appeal is that of
(Applicant/Abutter/Other aggneved party)
4. The remedy sought by the appellant is
(Annulment town committee's decision! Reversal to town committee's decision/ Remand application to town committee)
5. hereby certify that have given notice of this appeal to the Town Clerk, Town
Committee & Applicant, if different. have enclosed the required filing fee.
6. In the event that scheduling does not permit the hearing to take place within 30 days,
hereby grant an extension of time until the next regular scheduled Commission meeting.
(Date)Signature appellant or designated representative
Appellant's Mailing Address:
Tel. No.
Name, address & telephone of agent and/or attorney:
The appeal must be filed within 10 days of the filing of the decision with Town Clerk