S:\Planning\Planning Division\Planning Div Forms\Applications\Zoning Board of Adjustment Application Appeal 2021.doc Rev. 11/2020
V. ACKNOWLEDGEMENTS
I certify that [ ] I am the legal owner on record, or [ ] I have secured the property owner’s permission and
have full authority to make this application, and that the above information is correct and complete to the
best of my knowledge and ability.
Please read and initial below:
_____ I understand that all documents submitted with this application are subject to open records requests in
accordance with the Open Records Act / Texas Public Information Act.
_____ I understand that receipt of an application does not constitute application completeness and that staff will
review the application and return incomplete applications. I understand that application fees are non-
refundable once an application has been accepted and processed.
_____ I understand that if I am not present or represented at the public hearing, the Zoning Board of
Adjustment may defer or disapprove/deny the application.
______________________________________________________ ____________________________
Printed Name and Signature of Applicant Date
______________________________________________________ ____________________________
Printed Name and Signature of Property Owner Date
VI. APPLICANT CHECKLIST
All documents should be provided in 8.5” x 11”, or please fold to appropriate size if larger. All drawings must be to scale.
Please provide electronic copies, if available. Other pertinent information to support said request should also be attached.
[ ] Pre-Application Meeting with City Staff (Staff initial here if waived: _____)
[ ] Narrative Per Section 13.901 (C)(2), the narrative must include: The notice of appeal shall specify the
decision appealed from and the basis for the appeal, which shall include the specific sections of these
Regulations that are alleged to have been overlooked or applied in error, and in what specific way this
has affected or will affect the aggrieved party who initiated the appeal. Such statement of the basis of
the appeal shall provide sufficient detail to put the City on notice with respect to the matters to be
raised.
[ ] Non-Refundable Application Fee $350.00 (payable to the City of Galveston)
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