City of Woburn, Massachusetts Woburn City Council Woburn City Hall 10 Common Street Woburn, Massachusetts 01801 Petition to Amend Zoning Map of the City of Woburn To the City Council of the City of Woburn, Massachusetts The undersigned being an individual owning land to be affected by change or adoption, pursuant to Section 5 of Chapter 40A of the Massachusetts General Laws hereby petitions the Woburn City Council to amend the Zoning Map of the City of Woburn as follows: Location of Property: __________________________________________________________________ ____________________________________________________________________________________ Assessors Map Reference: ______________________________________________________________ Description of Property: ________________________________________________________________ ____________________________________________________________________________________ Present Zoning District: ________________________________________________________________ Proposed Zoning District: ______________________________________________________________ Name and address of property owner: _____________________________________________________ ____________________________________________________________________________________ ___________________________________________ Telephone: (____)_________________________ Name and address of Applicant (if different than owner): ______________________________________ ____________________________________________________________________________________ ___________________________________________ Telephone: (____)_________________________ ________________________________________ Signature of Landowner __________________________________________ Signature of Applicant (if different than owner) 1. File this original application together with an area plan showing the location of the subject parcel, any additional plans or supporting documents and nineteen (19) collated copies of all documents in the Office of the City Clerk by 1:00 p.m. the day before the City Council meeting. 2. File one copy of a certified abutters list of all “parties in interest” as defined in Section 11 of Chapter 40A obtained from the Board of Assessors and one set of mailing labels. 3. Filing fee: $200.00. 4. The City Clerk will schedule the public hearing before the City Council and inform you of the date. American LegalNet, Inc. www.FormsWorkFlow.com