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Special Permit or Variance Extension Request


  1. 1. Step One
  2. 2. Step Two
  • Step One

    1. Primary Contact for Project
      *MHIC/MD Contractor's License No.:
    2. Filing Requirements:
      Application will not be accepted or reviewed until the application is complete
    3. Affidavit
      I hereby certify that I have the authority to submit the foregoing application, that all owners of the property have signed below, that I have read and understand all requirements and that I or an authorized representative will appear at the scheduled public hearing in this matter. I hereby authorize the Village Manager, or the Manager’s designee, and/or the Board of Managers to enter onto the subject property for the purposes of assessing the site in relation to this extension request. I hereby declare and affirm, under penalty of perjury, that all matters and facts set forth in the foregoing application are true and correct to the best of my knowledge, information and belief.
    4. Electronic Signature Agreement
      By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.