{{company_name}}
{{company_address}}
Phone: {{phone}} | Email: {{email}} | Web: {{website}}
Application for Zoning Variance
Application for Zoning Variance
APPLICANT INFORMATION
{{APPLICANT_NAME}}
{{APPLICANT_ORGANIZATION}}
{{APPLICANT_ADDRESS}}
{{APPLICANT_PHONE}}
{{APPLICANT_EMAIL}}
PROPERTY INFORMATION
Property Address: {{PROPERTY_ADDRESS}}
Legal Description: {{LEGAL_DESCRIPTION}}
Current Zoning District: {{CURRENT_ZONING_DISTRICT}}
Assessor's Parcel Number (APN): {{APN}}
NATURE OF VARIANCE REQUEST
Describe the specific zoning regulation(s) from which a variance is requested:
{{VARIANCE_REGULATION_DESCRIPTION}}
State the exact variance being sought (e.g., reduction in setback, increase in building height):
{{VARIANCE_SOUGHT}}
JUSTIFICATION FOR VARIANCE
Explain the exceptional or extraordinary circumstances applying to the property that do not apply generally to other properties in the same zoning district:
{{JUSTIFICATION_CIRCUMSTANCES}}
Explain how the strict application of the zoning ordinance would result in practical difficulties or unnecessary hardship inconsistent with the general purpose and intent of the ordinance:
{{JUSTIFICATION_HARDSHIP}}
Explain how the requested variance will not grant special privileges inconsistent with the limitations upon other properties in the vicinity and zone in which the property is located:
{{JUSTIFICATION_NO_SPECIAL_PRIVILEGE}}
Explain how the requested variance will not be materially detrimental to the public welfare or injurious to property or improvements in the vicinity:
{{JUSTIFICATION_NO_DETRIMENT}}
PROPOSED USE OF PROPERTY
Describe the proposed use of the property if the variance is granted:
{{PROPOSED_USE_DESCRIPTION}}
Include any plans or drawings as attachments (e.g., {{ATTACHMENT_LIST}}).
PUBLIC NOTICE
I understand that public notice of this application may be required, and I agree to cooperate with the {{PLANNING_AUTHORITY}} in providing such notice as required by law.
{{PUBLIC_NOTICE_AGREEMENT_DATE}}
{{PUBLIC_NOTICE_AGREEMENT_SIGNATURE}}
AFFIDAVIT
I, {{AFFIANT_NAME}}, being duly sworn, depose and say that all the above statements and all statements contained in any papers or plans submitted herewith are true to the best of my knowledge and belief.
Sworn to and subscribed before me this {{DAY}} day of {{MONTH}}, {{YEAR}}.
Notary Public: {{NOTARY_PUBLIC_NAME}}
My Commission Expires: {{COMMISSION_EXPIRY_DATE}}
SIGNATURE
Applicant Signature: ___________________________
Printed Name: {{APPLICANT_PRINTED_NAME}}
Date: {{APPLICATION_DATE}}
For Official Use Only:
Application Number: {{APPLICATION_NUMBER}}
Date Received: {{DATE_RECEIVED}}
Decision: {{DECISION}}
Hearing Date: {{HEARING_DATE}}
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