APPLICATION FOR A VARIANCE TO THE REQUIREMENTS OF ZONING REGULATIONS
THIS SECTION TO BE FILLED OUT BY APPLICANT:
1. Legal description of real estate for which this variance is requested: ________________________________________________________
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1. Describe the variance requested (in addition to this written information, provide a sketch of the buildings, structures, setbacks etc. involved in the request on the space provided below: ____________________________________________________________________________
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SKETCH SITE PLAN HERE:
3. Explain why the strict application of the zoning regulations would produce and undue hardship: (a hardship, by law, must relate to peculiar characteristic(s) or situation of the property (land), such as exceptional narrowness, shallowness, shape, topography or other exceptional factor of the land and not the convenience of the owner / applicant or simply the desire of the owner / applicant)
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4. Explain why such hardship is not shared generally by other properties in the same zoning district and in the same vicinity: _____________
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5. Explain why granting of the variance will not be of substantial detriment to adjacent properties: __________________________________
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I hereby certify that I have the legal authority to file this application, that I have completed and examined this application and know the same
to be true and correct. I further certify that I have paid the required application fee and that I understand that this fee is non-refundable.
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Name of Applicant (please print) Street Address (please print) Telephone
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Signature of Applicant City / State / Zip Code (please print) Date of Application
THIS SECTION TO COMPLETED BY ZONING ADMINISTRATOR:
1. Variance Case No. _________, 20____
2. Date Application received: ____________, 20____
3. Fee of $_________ paid by applicant
4. Real estate on which variance is requested is zoned:
____AG, Agricultural ____R, Residential ____R-R, Residential Ranchette
(check one) ____R-O, Residential-Office ____C-1, Central Business ____C-2 - General Business
____I-1, Light Industrial ____I-2, Industrial ____PUD - Planned Unit Development
5. Real estate is subject to overlay zoning with additional restrictions: ___Yes ___No
If YES the following overlay district regulations apply:
____Flood Hazard ____Airport Hazard ____Wellhead Protection
6. Reason(s) zoning permit / certificate of zoning compliance was denied (Cite applicable section(s) of zoning regulations):______________
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_______________________________________________________________________________________________________________7. Is proposed variance a “use variance” prohibited by Section 802.03, Subsection B, Paragraph F of the Zoning Regulations?
___Yes ___No (If YES, application for a variance cannot be excepted under any circumstances. The applicant shall be instructed to seek a rezoning of the subject property.)
8. Legal notice of public hearing by Board of Adjustment was published and posting of subject property occurred at least ten (10) days prior
to the date of the public hearing. ____Yes
9. Board of Adjustment public hearing was conducted on _____________, 20_____
10. Board of Adjustment action:
____ Written hardship(s) where found by Board as required by Section 803.03 of the Zoning Regulations (attach original of Variance
Hardship Finding and Action Record)
____ Written hardship(s) where NOT found by Board as required by Section 803.03 of the Zoning Regulations (attach original of
Variance Hardship Finding and Action Record)
____ Variance was approved (refer to Variance Hardship Finding and Action Record)
____ Conditions for variance where approved (refer to Variance Hardship Finding and Action Record)
____ Variance was denied (refer to Variance Hardship Finding and Action Record)
11. Notice of the decision of the Board of Adjustment was mailed to Applicant on _________, 20_____
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Signature of Zoning Administrator