Zoning Map 1060 Broadway Unit C001 — File 212913

CITY OF SOMERVILLE Office of Strategic Planning & Community Development ZONING MAP AMENDMENT· APPLICATION FORM Per Article 15.6.2 of the Somerville Zoning Ordinance (SZO), an individual property owner or ten (10) registered voters of the City of Somerville may petition the Somerville City Council to change the maps of the Somerville Zoning Atlas in response to changes in City policy or real-world conditions. To submit a map amendment petition to the City Council, the following must be provided: 1. A completed Zoning Map Amendment Application Form. 2. A copy of the appropriate Zoning Atlas map(s) with the proposed change(s) clearly noted. 3. A letter addressed to the City Council including a description of the proposed changes and the purpose for the petition. Submit all required documents to: Property to be changed Property Address: 1060 Broadway, Unit C-001 Map: 12 Block: A Property Address: Map: Block: Property Address: Map: Block: Property Address: Map: Block: Property Address: Map: Block: Property Address: Map: Block: Property Address: Map: Block: Property Address: Map: Block: Property Address: Map: Block: VER: July 13, 2020 City Clerk's Office 151 Floor, City Hall 93 Highland Avenue Somerville, MA 02143 Lot: 38 Lot: Lot: Lot: Lot: Lot: Lot: Lot: Lot:

F t (10) or en t d t regis ere vo ers: ----- Name: Kechia Davis ~ Address: 41 Grandview Road, Arlington, MA 02476 Signature: I Name Address: I Signature: I Name Address: I Signature: I Name Address: I Signature: IName Address: I Signature IName Address: I Signature: I Name Address: I Signature: I Name ~ddress: I Signature: IName ~ddress: I Signature: I Name ~ddress: I Signature: VER: July 13, 2020 2

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