»( GAS), TOWN OF WEBSTER RECEIVED
rn ZONING BOARD OF APPEALS APPLICATIOWNUN || 2 2026 Office (585) 872-7028 + Fax (585) 872-1352 planning-zoning@ci.webster.cyaus, bite
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Property Owner Information (if different than above): Name: Address:
Applicant/Contact Person:
AKO
Name:
E-mail:
Architect / Engineer (if applicable):
Address:
E-mail: Project Name: Pani uw fami \y add Ho Al Project Address: _} Q‘ q Mil Ch eek K vf
Project Description (additional information can be attached):
Use Varlance
interpretation
Special Use Permit
e] Length of time to complete project: | Mo Ayh Estimated Cost: 00,” O00
Work will be completed by (circle one): Owner Sub-divider Contractor Sub Contractor
By the signature below, on behalf of the applicant or owner, | hereby authorize representatives from the Town of Webster to enter the above referenced property, during normat hours, for the purpose of conducting inspections of the proposed construction/activity, as required by applicable law, rules, regulations ordinances and orders. | also certify that the information supplied on this application is complete and
accurate, and that the project described, if approved, will be completed in accordance with
the conditions
SIGNATUR
Parcel Number (SBL): Zoning District:
March 2026
OWNER’S AFFIDAVIT (Sign and return if property owner is different than applicant)
l, ec | : PaaKiw do hereby certify that | am an owner and/or contract purchaser
of property involved in this request and that the foregoing statements, answers and supporting documentation submitted are in all respects true and correct to the best of my knowledge and belief. If this application is granted approval, all actions shall be in accordance with the terms of that
approval.
YHA Mi Wereek Run
NAME OF PROPERTY / BUSINESS OWNER
SIGNATURE OF PROPERTY/BUSINESS OWNER
/5/2b
DATE
DISCLOSURE OF INTENT TO REQUEST TAX INCENTIVES, ABATEMENTS, OR EXEMPTIONS
Have you currently applied for, or intend to apply for any tax incentives, abatements, or exemptions?
Yes
——No a
lf YES, would you agree to enter into a Host Community Agreement* (HCA) with the Town of Websier?
Yes
No
L> If NO: if you apply for or receive any tax incentives, abatements or exemptions in the future, would you agree to enter into a Host Community Agreement (HCA)?
Yes Me
No
HA Millcreek Ruan
NAME OF PROPERTY / BUSINESS OWNER
SIGNATURE OF PROPERTY/BUSINESS OWNER
6/5/26
DATE
* A Host Community Agreement (HCA) is an agreement between the business/property owner, wherein the business/property owner recognizes that the Town provides services which benefit the business/property and the owner desires to compensate the Town for such services, by making payment to the Town (and to make the Town whole in regard to property taxes) by entering into this agreement to acknowledge the Town's cost of providing services to its residents and property owners.
NON-COLLUSION DISCLOSURE PURSUANT TO SECTION 350-104 OF THE WESTER ZONING ORDINANCE
TO WHOM IT MAY CONCERN:
No officer or employee of the State of New York, County of Monroe or Town of Webster has any financial interest in the land affected by or in the partnership making application for the project known
as PanKi) Family 0.00 rion
(] 5/ Ab
Authorized Representative
AREA VARIANCE STATEMENT OF DIFFICULTY
An area variance shall be granted only if the applicant can establish EACH of the following, in accordance with Section 350-102 of the Zoning Ordinance:
. Essential Character. Indicate how the variance will impact the essential character of the neighborhood. No undesirable change in the essential character of the neighborhood will occur and no detriment will be created to nearby properties if the area variance is granted because: This addition will matth about AY nf the homes Oa
our Stee,
. Alternates Considered: Indicate the benefit sought by the granting of the variance and why the benefit cannot be achieved by some other feasible method other than an area variance. Identify the alternatives to the variance that have been pursued, and why they are not feasible (include evidence
where necessary to support your conclusion Le. tried +o make the adgetion we (K with eur a Var) ance, howene the Coot Pi rth oi + wel.
. Significance. Indicate why the requested variance is not a substantial or contextually significant deviation from the current code/regulations (is the difference between what the code requires and what
u're requesting significant): Request i> Nok Si nificant, A Variance {> eeded if the. ti aoe Cc property Ling. We. ar
‘ “
. Physical and environmental conditions. Describe any potential impacts on factors such as drainage, traffic, dust, noise, odor, public services {e.9., compliance with the Town Code requirements to be varied would result in structures over an easement, removal of mature trees) provide mitigation efforts if any are to be utilized:
il and envi? omental (SSeS will (eSu i+ from
dds tion
. Not self-created. The alleged difficulty was not self-created because (consideration shail be relevant to the decision of the Board of Appeals but shall not necessarily preclude the granting of the area variance): oc ame 1S \OOO Se f4. Family pf fve w/ 2 deq S ono _« gihneapig. sake ele Toom, We do fot wbink io mvt. My wile aad VC afew
mi wS live. hee. This ye hom. J
** THIS FORM IS REQUIRED FOR ALL AREA VARIANCE REQUESTS**
Short Environmental Assessment Form Part 1 - Project Information
Instructions for Completing
Part 1 - Project Information, The applicant or project sponsor Is responsible for the completion of Part 1. Responses become part of the application for approval or funding, are subject to public review, and may be subject to further verification. Complete Part 1 based on information currently available. If additional research or investigation would be needed to fully respond to any item, please answer as thoroughly as possible based on current information.
Complete all items in Part 1. You may also provide any additional information which you believe will be needed by or useful to the lead agency; attach additional pages as necessary to supplement any item.
Part 1 ~ Project and Sponsor Information
Name of Action or Project:
Addition +o home.
Project Location (describe, and attach a location map):
\QHA_ MillereeK Run
Brief Description of Proposed Action:
Addition +0 rear of home
Telephone: = =e - cals : —_ 4 Address: . AHA MilWore kK Roa City/PO: State: \ Zip Code: W ebster A. 14S 80 1. Does the proposed action only involve the legislative adoption of a plan, local Jaw, ordinance, NO YES administrative rule, or regulation? If Yes, attach a narrative description of the intent of the proposed action and the environmental resources that ne [] may be affected in the municipality and proceed to Part 2. If no, continue to question 2. 2. Does the proposed action require a permit, approval or funding from any other government Agency? NO YES If Yes, list agency(s) name and permit or approval: pa Cl 3. a. Total acreage of the site of the proposed action? i L b. Total acreage to be physically disturbed? acres- 730 4 gi t, c. Total acreage (project site and any contiguous properties) owned . or controlled by the applicant or project sponsor? i “| | acres
4. Check all land uses that occur on, are adjoining or near the proposed action: () Urban [[) Rural (non-agriculturc) (CJ Industria! (-j Commercia! x Residential (suburban) C1 Forest (() Agriculture [-] Aquatic [1] Other(Specify): (FJ Parkland
Page | of 3 SEAF 2019
5. Is the proposed action,
N/A
a. A permitted use under the zoning regulations?
b. Consistent with the adopted comprehensive plan?
CL} é
6. Is the proposed action consistent with the predominant character of the existing built or natural landscape?
3 RI
7. Is the site of the proposed action located in, or does it adjoin, a state listed Critical Environmental Area?
If Yes, identify:
YES
8. a. Will the proposed action result in a substantial increase in traffic above present levels? b. Are public transportation services available at or near the site of the proposed action?
c. Are any pedestrian accommodations or bicycle routes available on or near the site of the proposed action?
WOO} O
9. Does the proposed action meet or exceed the state energy code requirements?
2IRIEIN 4] Rls) Olio s
YES
If the proposed action will exceed requirements, describe design features and technologies: 10. Will the proposed action connect to an existing public/private water supply? NO | YES If No, describe method for providing potable water: 0 . 11. Will the proposed action connect to existing wastewater utilities? NO | YES
If No, describe method for providing wastewater treatment:
12. a. Does the project site contain, or is it substantially contiguous to, a building, archaeological site, or district which is listed on the National or State Register of Historic Places, or that has been determined by the Commissioner of the NYS Office of Parks, Recreation and Historic Preservation to be eligible for listing on the State Register of Historic Places?
b, Is the project site, or any portion of it, located in or adjacent to an area designated as sensitive for archaeological sites on the NY State Historic Preservation Office (SHPO) archaeological site inventory?
Lg
O
13. a. Does any portion of the site of the proposed action, or lands adjoining the proposed action, contain wetlands or other waterbodies regulated by a federal, state or local agency?
b. Would the proposed action physically alter, or encroach into, any existing wetland or waterbody?
If Yes, identify the wetland or waterbody and extent of alterations in square feet or acres:
NO _| YES M | | CJ
Page 2 of 3
14. Identify the typical habitat types that occur on, or are likely to be found on the project site. Check all that apply:
ClShoreline [_] Forest ([] Agricultural/grasslands [7] Early mid-successional CJWetland [] Urban SS -Suburban
15. Does the site of the proposed action contain any species of animal, or associated habitats, listed by the State or Federal government as threatened or endangered?
16. Is the project site located in the 100-year flood plan?
NO | YES Pd} YES
17. Will the proposed action create storm water discharge, either from point or non-point sources? If Yes,
a. Will storm water discharges flow to adjacent properties?
b. Will storm water discharges be directed to established conveyance systems (runoff and storm drains)? If Yes, briefly describe:
Hoje
18. Does the proposed action include construction or other activities that would result in the impoundment of water | NO | YES or other liquids (€.g., retention pond, waste lagoon, dam)? If Yes, explain the purpose and size of the impoundment: Bd q 19. Has the site of the proposed action or an adjoining property been the location of an active or closed solid waste NO | YES Management facility? If Yes, describe: RZ] C 20.Has the site of the proposed action or an adjoining property been the subject of remediation (ongoing or NO | YES
completed) for hazardous waste? If Yes, describe:
WA
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE AND ACCURATE TO THE BEST OF
MY KNOWLEDGE
Applicant/sponsor/name: BI at Panki a) Date: “/5)2 L
Title ‘rome OWN ey7
PRINT FORM Page 3 of 3
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MONROE, NEM YORK STATE, OATED OCTOBER 25, 1999.
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50 WIDE EASEMENT 10 ROSE L4256/P27
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——- EXISHING WOOD DECK TO BE REMOVED
-—— PROPOSED ADDITION
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PLAN
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EXISTING PROPERTY INFORUATION BASED ON INSTRUAERT 20 0 20° 40° SURVEY MAP SHORING PROPERTY KNOWN AS NO. 1249
MILLCREES RUN BEING LOT NO. 73 OF THE LAKEOALE ~