_____________________________________________________________________________________
APPLICATIONTOBOARDOFZONINGAPPEALS
CITYOFINDEPENDENCE,KANSAS
_____________________________________________________________________________________
1.Date:
2.Name,AddressandTelephoneNumberofPropertyOwner:

3.Iappointthefollowingpersonasmyagentduringconsiderationofmyrequest:
Name:
Address:
Telephone:
4.CommonAddressofLandInvolved:
5.LegalDescription
ofLa
ndInvolved:
6.Describewhatyouwishtodowhichthezoningcodeprohibits:
7.Thefollowingcondition(s),whichwerenotcreatedbytheowner’sactions,areuniquetothe
propertyinquestionandarenotcommonlyfoundinthesamezoneordistrict:
8.Theproposeddevelopmentwouldnotadverselyaffectth
erightsoftheadjacentpropertyownersor
residentsbecause:
Print Form
9.Theliteralenforcementofthezoningregulationswillresultinthefollowingunnecessaryhardships:
10:Theproposeddevelopmentwillnotbecontrarytothepublichealth,safety,morals,orgeneral
welfarebecause:
11:Theproposeddevelopmentwillnotbecontrarytothegeneralspiritandintentofthezoning
ordinancebe
cause:
12:Pleaseattachasiteplanshowingthedimensionsofthelot, thelocationofbuilding(bothexisting
andproposed),andthelocationofexistingbuildingsonadjacentproperty.
Ifthespaceprovidedisnotsufficient,theapplicant mayattachadditionalpages.Theapplicantalsomay
submitanyotherper
tinentinformationincludingphotographs,drawings,maps,statistics,legal
documents,andlettersofsupport.
SignatureofPropertyOwner:___________________________________
_____________________________________________________________________________________
CaseNumber: _______________
DateFiled: _______________
FeeReceived: _______________
PresentZoning:_______________
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