Derry, PA · Westmoreland County

No notary required

Zoning Appeal Application

Property owners use this application to ask the Borough of Derry Zoning Hearing Board to review an appeal denied by the Zoning Officer.

What this form is

This application asks the Borough of Derry Zoning Hearing Board to consider an appeal denied by the Zoning Officer. It lets the appellant identify the appeal type, relevant zoning ordinance section, property, and requested variance, and describe any claimed hardship. The form asks applicants to submit four copies of a plot plan with the application.

Who needs it

A property owner whose appeal was denied by the Zoning Officer can use this application to request a determination from the Zoning Hearing Board.

How to submit it

Submit the application with four copies of the plot plan; the form includes a field for receipt by the Zoning Officer but gives no address or other contact details.

About notarization

This application has no notary block; the appellant signs and dates it, and the form requests four copies of a plot plan.

How to submit this form

  1. 1

    Download The Application

    Download the Borough of Derry Zoning Appeal Application PDF.

  2. 2

    Complete The Application

    Fill in the appeal type, relevant ordinance section, property information, and requested variance or hardship details, as applicable.

  3. 3

    Gather The Plot Plan Copies

    Prepare four copies of a plot plan to submit with the application.

  4. 4

    Submit To The Borough

    Submit the application and four plot plan copies; the form identifies the Zoning Officer as the recipient for recording receipt.

Frequently asked questions

What does the Zoning Appeal Application request?
It asks the Borough of Derry Zoning Hearing Board to make a determination on an appeal denied by the Zoning Officer.
What should I include with the application?
The form requests four copies of a plot plan with the application. It also asks for property details, the appeal type, and other information relevant to the request.
Do I need a notary for the Zoning Appeal Application?
No. The application has no notary block; the appellant signs and dates it. The form requests four copies of a plot plan.
How do I submit the Zoning Appeal Application?
Submit the application with four copies of the plot plan. The form includes a receipt field for the Zoning Officer but does not provide an address or other contact details.

Need something notarized?

This Zoning Appeal Application doesn’t need a notary — but if you have another Derry form that does, a commissioned online notary can help.