Page 2 of 2
PLEASE READ CAREFULLY AND ANSWER THE FOLLOWING ITEMS AS FULLY AS YOU CAN. USE SEPARATE
SHEET(S) IF NEEDED. READ ATTACHED SECTION 1137 OF THE ZONING CODE BEFORE COMPLETING
APPLICATION.
(A) The particular requirements of this Zoning Code which prevent the proposed use or construction.
(For example, Section 1142.08 (f) (5) Rear Yard Setback of 30’)
_______________________________________________________________________________________
(B) The characteristics of the subject property which prevent compliance with requirements of this Zoning Code.
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
(C) The reduction of the minimum requirements of this Zoning Code which would be necessary to permit the proposed
use or construction (List all variances requested).
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
(D) The particular hardship, which would result if, said particular requirements of this Zoning Code were
applied to the subject property (Unique conditions or physical impairments).
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
I HEREBY DEPOSE AND SAY THAT THE ABOVE STATEMENTS AND THE STATEMENTS CONTAINED IN ALL THE
EXHIBITS PREPARED BY ME AND TRANSMITTED HEREWITH ARE TRUE.
____________________________________________
(Applicant Signature)
Subscribed and sworn to before me this ________day of ________________, 20____
My Commission Expires _____________________________________
(Month/Date/Year)
____________________________________________
(Notary Public)
(Office Use Only - Do Not Write Below This Line)
DISPOSITION OF BOARD OF ZONING APPEALS:
AMENDED / CONDITIONS ATTACHED
click to sign
signature
click to edit