CERTIFICATE OF VARIANCE APPROVAL
Zoning Board

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.

I, ________________________, the duly appointed, qualified and acting Secretary of the Board of Zoning Appeals for the City of ___________, ___________ County and State of Maine, hereby certify that on the ____day of ____________, 19__, the following variance was granted pursuant to the provisions of 30-A M.R.S.A. §4504 and the _______________(town/city) General and Shoreland Zoning Ordinance.

1. Property Owner:

2. Property: _____________(county) Registry Book ___, Page___

3. Variance and Conditions of Variance:

IN WITNESS WHEREOF, I have hereto set my hand and seal this _______day of 19__.

___________________
Secretary

____________________
(Printed or Typed Name)

STATE OF MAINE
_______________, SS

Then personally appeared the above named __________________ and acknowledged the above certificate to be his/her free act and deed in his/her capacity as Secretary of the _____________ (town/city) Board of Zoning Appeals.

____________________

____________________
(Printed or Typed Name)
Notary Public

This certificate must be recorded in the ___________(county) Registry of Deeds within 30 days of the granting of the variance for the variance to be valid, pursuant to 30-A M.R.S.A. §4504.