T O W N O F K N I G H T D A L E
DEVELOPMENT SERVICES DEPARTMENT
www.knightdalenc.gov
950 Steeple Square Court
Knightdale, NC 27545
(v) 919-217-2243
(f) 919-217-2249
ADMINISTRATIVE APPEAL APPLICATION
Section 15.5 of the Unified Development Ordinance provides for appeals of administrative decisions. Any order, requirement, decision,
interpretation or citation made by the Administrator may be appealed to the Land Use Review Board, and any order, requirement,
decision or interpretation made by the Development Review Committee may be appealed to the Town Council.
A complete application for administrative appeal with accompanying payment and supplemental information must be received in the
office of the Administrator by 5pm on the 10th calendar day following the date of the order, requirement, decision, interpretation or
citation. Appeals will be placed on the appropriate board agenda within 30 calendar days of the filing.
THIS SPACE FOR DEVELOPMENT SERVICES STAFF ONLY
CASE NUMBER: A - - DATE RECEIVED: X-REFERENCES:
FILING FEE AMOUNT PAID: INITIAL FOR PAYMENT COLLECTED:
APPLICANT:
ADDRESS:
PHONE: FAX:
SIGNATURE:
SIGNATURE:
ADDRESS:
PROPERTY
OWNER:
DATE:
EMAIL:
DATE:
EMAIL:
FAX:PHONE:
CONTACT INFORMATION
PROPERTY DESCRIPTION
LOCATION:
PIN(s): ZONING:
ADDRESS:
TYPE OF APPEAL (please check one)
Order, Requirement, Decision, Interpretation or Citation of the Land Use Administrator
Order, Requirement, Decision or Interpretation of the Development Review Committee
SUBMITTAL REQUIREMENTS:
* COMPLETED APPLICATION FORM. Application must be signed by the applicant and property owner. Applicant must also certify
their statement on Page 2.
* $300.00 PROCESSING FEE.
Form Last Revised 7/21/17
Page 1 of 2
(Continued on Page 2)
I, ______________________________________________, certify that all of the information presented in the application is accurate
to the best of my knowledge, information and belief.
Form Last Revised 7/21/17
Page 2 of 2
DATE:SIGNATURE:
REASON FOR APPEAL
Please describe the order, requirement, decision, interpretation or citation that is being appealed. Please be sure to include the
date of the order, requirement, decision, interpretation or citation. Attach additional sheets if necessary.
Appellant Statement: (In the space below, present your understanding of the ordinance section(s) in question and state what
reasons you have for believing that your understanding of the matters concerning the Administrator's or Development Review
Committee's order, requirement, decision, interpretation or citation is correct. Attach additional sheets if necessary.)
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