Board of Adjustment

Board of Adjustment
Note: Before submitting your application please call 701-456-7815 to speak with the Building Official Leonard Schwindt to discuss your application.
Who is the applicant*

Property OwnerAuthorized Personnel
Property Owner*

First NameLast Name
Property Owner's Phone Number*
Please enter a valid phone number.
Property Owner's Email*
example@example.com
Property Owner's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Property Owner's Signature or Authorization Letter

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Applicant Information

All applications must be signed by the property owner or the application will not be processed.
Applicant Name*

First NameLast Name
Applicant's Phone Number*
Please enter a valid phone number.
Applicant's Email
example@example.com
Applicant's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Note: If the applicant is not the owner of the premises, the owner's signature or separate written permission authorizing the applicant to sign on behalf of the owner, must be attached to this application. The signature of the applicant and owner (or written permission of the owner) certifices that permission is granted by the owner to all authorized City personnel to enter the premises for the purpose of review of this application.
Property Information
Property Location*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Property Legal Description*
Zoning District*
Existing Use*

Zoning/Use

	Adjacent Zoning	Adjacent Use
North
South
East
West

General Description of Request*
Purpose Statement*

including and explanation and justification for approving the amendment
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- Address the practical difficulties or unnecessary hardships, as distinguished from convenience,profit, or caprice, which would result from the strict application and the relevant regulations;
- Describe how the hardship is not shared generally by other properties in the same zoning districtand in the same vicinity;
- Describe the variance or modification of regulations requested;
- Explain how granting the requested relied will observe the spirit and intent of the City of DickinsonMunicipal Code, and will maintain the public safety and welfare; and
- State why the granting of this variance would not negatively impact adjoining landowners.
Site Plan*

Drawn to scale with North oriented to the top of the page
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- Overall lot dimensions;
- Location and dimensions of all buildings and structures found on-site;
- Location and dimension of proposed construction; and
- Location and dimension of the variance requested.
Describe how the hardship is not shared generally by other properties in the same zoning district and the same vicinity*
Zoning Code Sections Relevant to this Request
Have any previous applications of appeals been filed in connection with this property?*
Date of When*

MonthDayYear
Date
Copies of any order, requirement, decision, or determination made by an administrative official of the City of Dickinson that is relevant to this request.

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Applicant/Property Owner Signature*

Clear
Date*

MonthDayYear
Date

Board of Adjustment*

Board of Adjustment

$150.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Should be Empty:

Board of Adjustment

Applicant Information

Property Information