Fillable APPLICATION FOR VARIANCE (Williams County Government)

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APPLICATION FOR VARIANCE (Williams County Government)

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APPLICATION FOR VARIANCE
Williams County Regional Planning Commission
12953 County Road G
Bryan, OH 43506
Date:
Application No:
Applicant's Name:
Address:
City: State:
Zip:
Township:
Section:
Quarter Section:
Location Information:
Tax Parcel No.
Parcel Size (acres):
Nature of Variance Requested (Describe generally the nature of the variance):
FILL OUT THE SECTION BELOW IF ONE PARCEL IS BEING ADDED TO ANOTHER PARCEL:
Tax Parcel No. 1
Parcel Size (acres):
To be added to Tax Parcel No. 2
Parcel Size (acres):
Revision 01-04-13
Justification of Variance: Check the following boxes as applicable to this variance.
Exceptional topographic or other conditions peculiar to this particular parcel of land.
A literal interpretation of the regulations would deprive the applicant of the rights
enjoyed by other property owners, please explain below.
The peculiar conditions do not result from previous actions of the applicant.
The requested variance is the minimum variance that will allow a reasonable division of
the land.
Sketch attached of the area showing location and characteristics of the requested
variance.
Signature
I hereby certify that all of the information contained in this application and any supplements is true
and accurate. To be signed by the property owner or agent of owner requesting the variance.
Owner of Property
Agent For Owner of Property
FOR OFFICIAL USE ONLY
Date Filed:
Fee Paid:
PLANNING COMMISSION:
Approved Denied
Planning Commission Date
NOTE: THIS APPROVAL EXPIRES 12
MONTHS FROM THE DATE OF PLANNING
COMMISSION APPROVAL ABOVE.
WILLIAMS COUNTY ENGINEER
Approved Denied
Todd J. Roth, P.E.,P.S.
Date:
Name of Owner of Parcel No. 1 Listed
Above Shown on Auditor's Web Page:
Comments:
Owner Verification If One Parcel Is Being Added to Another Parcel:
Name of Owner of Parcel 2 Listed
Above Shown on the Auditor's Web
Page:
Name of Owner of Parcel 2 Listed
Above Shown on the Proposed Deed:
Is the 40 feet new right of way and 90 feet building setback shown on the deed?
Yes
No
Is the 40 feet new right of way and 90 feet building setback shown on the survey plat?
Yes
No
N/A
N/A
Does the property appear to have any Zone A Flood Plain?
If yes, flood insurance may be required, the property owner or agent needs to verify this requirement.
If a new dwelling structure is proposed in the Zone A Flood Plain, a flood plain permit will be required
prior to any construction beginning. This form is available in the County Commissioners Office on the
fourth floor of the courthouse.
Yes
No
Is the parcel in Center, Pulaski or Springfield Township?
If yes, is the township zoning approval attached? If no, township zoning approval will be required
before the county auditor will transfer the parcel.
Yes
No
Is the parcel in a county Sewer District?
If yes, see division of sewer assessment information below..
Yes No
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APPLICATION FOR VARIANCE (Williams County Government)

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Completed 6 August 2020

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