OFFICIAL RECORD OF THE
BOARD OF APPEALS

This publication is presented for "Classroom Use Only."  Its intended use is to stimulate and aid in discussion and role playing within a classroom setting.

Appeal No.______

Appellant__________________

_________________________

Date Appeal Received:_________Fee Paid:_______

Date of Hearing Notice in Newspaper:______________

Notice of Hearing Sent to:_______________

Date of Notice:_____________

Date of Public Hearing:_____________

Time:_______

Place:_________________

Members in Attendance:

Parties to Action:

Findings of Fact:

Conclusions:

Date of Decision: _________________

Judgment:

Vote, By Member:

Conditions Attached (if applicable):

Date Notification Sent to: Appellant____________

Planning Board_____________

Selectmen_________________

 

_______________________
Board of Appeals Secretary