Fillable Administrative Adjustment Application Property Owner Applicant (Camden County)

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Administrative Adjustment Application Property Owner Applicant (Camden County)

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The Administrative Adjustment Application Property Owner Applicant (Camden County) form is 2 pages long and contains:

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  • 2 check-boxes
  • 35 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Camden County

BROWSE CAMDEN COUNTY (NC) FORMS

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1
Administrative
Adjustment
Application
OFFICIAL USE ONLY:
UDO Number:
Date Filed:
Amount Paid:
Received By:
Contact Information
Property Owner Applicant
AGENT FOR APPLICANT
Name:
Name:
Address:
Address:
Telephone:
Telephone:
Email:
Email:
LEGAL RELATIONSHIP OF APPLICANT TO PROPERTY OWNER:
DOCUMENTATION OF PROPERTY OWNER GIVING CONSENT TO AGENT (Y/N/NA):
Property Information
Physical Street Address:
Location:
Parcel ID Number(s):
Total Parcel(s) Acreage:
Existing Land Use of Property:
Proposed Land Use of Property:
Request
Side
R
equired Setback:
Requested Setback:
Additional Comments (Limit 200 Characters, use separate sheet if needed):
Fro nt
Rear
Side Corner
Building Height Modification
Required Maximum Height:
Requested Height:
Additional Comments (Limit 200 Characters, use separate sheet if needed):
Setback Modification
N/A
2
Narrative (Limit 1400 Characters, use separate sheet if needed):
Please write a short narrative of the request including your reason for seeking an administrative
adjustment.
I, the undersigned, do hereby certify that all of the information presented in this application is
accurate to the best of my knowledge, information, and belief.
Further, I hereby authorize county officials to enter my property during reasonable business hours
for purposes of determining zoning compliance. All information submitted and required as part of
this application process shall become public record.
Property Owner(s)/Applicant*
Dat
e
*Note: Forms must be signed by the owner(s) of record, contract purchaser(s), or other person(s)
having a recognized property interest. If there are multiple property owners/applicants, a
signature is required for each.
Rev. 08-17-2020
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Administrative Adjustment Application Property Owner Applicant (Camden County)

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Completed 25 January 2021

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