Mail or Return to Newburgh Heights Village Hall, Housing and Building Department
3801 Harvard Ave. Newburgh Heights, OH 44105
Village of Newburgh Heights
Application for Board of Zoning Appeals
(Residential Application Fee $50.00/Commercial Application Fee $100.00)
Applicant Contact Information
Property Owner/Company
Street Address
City, State, Zip Code
Property Owner Phone
Attorney/Agent Name
Attorney/Agent Address
City, State, Zip Code
Attorney/Agent Phone
Property Information (Housing and Building Department Information)
Property Address for
Parcel Number
Lot Size
Square Feet
Code Section
Code Requirements
Zoning District
Meeting Date
Applicant Appeal Summary
State in your own words all pertinent information involved in this matter. If submitted information is incomplete, it may be necessary for
the BZA to request additional information before this matter can be set on its agenda. Additional pages should be attached. Bring to the
hearing any documents, drawings, photos other materials or evidence along with your testimony to help demonstrate your need for the
variance. Nine (9) copies for the Board must be included with application.
1. Explain how the literal application of the provisions of the code result in practical difficulty peculiar to the property involved
and not based on conditions created by the owner.
2. What are the topographical or geographical conditions or circumstances of the property involved which prevents compliance
with the code?
3. Explain why the variance will not be materially detrimental to the public health, safety and general welfare or injurious to the
adjacent property owners.
Agreement and Signature
I, or the property owner I represent, are requesting a variance from the Board of Zoning Appeals for the property stated in the
application due to a hardship which now prevails as evidenced by the information that I have provide to the Board.
Name (printed)