Board of Zoning Appeals Application

Board of Zoning Appeals Application
Appeal Of:*
Zoning Ordinance:*
City Official:
Setback VarianceSign VarianceOther Variance
Front YardSide YardRear Yard
Provide an exact measure of the distance of the new setback in feet:
A survey of the property is required.
FreestandingWall SignOther Sign
Permitted Signage (ft)
Requested Signage (ft)
Other Variance Request Description:
Zoning Ordinance Section:
Reason for Request:
Property Owner*

First NameLast Name
Property Owner Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Property Owner Phone #"*
Format: (000) 000-0000.
Property Owner Email:*
example@example.com
Applicant Name:*

First NameLast Name
Applicant Mailing Address:*
Applicant Phone Number:*
Format: (000) 000-0000.
Applicant Email:*
example@example.com
Property Address:*
Property County Tax Map:
Property Group:
Property Parcel(s):
Property Current Zoning:
Property Size:*
Property City*
Adjacent property owner(s) affected by request:
Property #1 Owner:
Property #1 Address:
Property #2 Owner:
Property #2 Address:
Property #3 Owner:
Property #3 Address:
Property #4 Owner:
Property #4 Address:
Property #5 Owner:
Property #5 Address:
Application Fees:

Special Exception (Conditional Use) $300.00

Variances $300.00

Appeals $250.00

All approvals Expire in one year if no action is taken.
Name of Applicant:*
Signature of Applicant*

Clear
Date*

MonthDayYear
Date
Should be Empty: