Fillable Application Appeal An appeal from any final order (Camden County)

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Application Appeal An appeal from any final order (Camden County)

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An appeal from any final order or decision of the Administrator may be taken to the Board of
Adjustment by any person with standing. An appeal is taken by filing the below application with
the Administrator and the Board of Adjustment, a written notice of appeal specifying the grounds
for the appeal. A notice of appeal shall be taken within 10 days after the date of the decision or
order appealed from.
Appeal
Application
OFFICIAL USE ONLY:
UDO Number:
Date Filed:
Amount Paid:
Received By:
Contact Information
APPLICANT
Name:
Name:
Address:
Address:
Telephone:
Telephone:
Fax:
Fax:
Email:
Email:
LEGAL RELATIONSHIP OF APPLICANT TO PROPERTY OWNER:
Property Information
Physical Street Address
Location:
Parcel ID Number(s):
Statement of Error, or Improper Decision or Interpretation
I wish to appeal a:
Decision or Interpretation
Notice of Violation
Date of Decision, Interpretation, or Notice of Violation:____________________
Grounds for appeal
On the reverse side of this form, provide written notice of the grounds for your appeal. Please
include all related support materials with the application.
I, the undersigned, do certify that all of the information presented in this application is accurate to the
best of my knowledge, information, and belief. All information submitted and required as part of this
application process shall become public record.
_______________________________ ______________________
Appellant / Applicant Date
The Board of Adjustment is limited to the following determinations in considering the appeal, which
shall be based on: (a) Whether the decision maker erred in the interpretation of the Ordinance; and
(b) Whether the decision maker erred in determining whether a standard of the Ordinance was met.
The Board of Adjustment shall not hear any evidence or make any decision based on hardships or
special conditions except as part of an application for a variance. (UDO Section 2.3.5.E)
Appeal of a decision by the Board of Adjustment shall be to District 1 Superior Court by proceedings
in the nature of certiorari and in accordance with Section 160A-393 of the North Carolina General
Statutes. Petitions for review must be filed with the Clerk of Court within 30 days of the date the
decision is filed in the office of appropriate review authority and delivered by personal delivery,
electronic mail, or first-class mail to the applicant, landowner, and to any person who has submitted
a written request for a copy, prior to the date the decision becomes effective. (UDO Section 2.5.3.G).
Below, provide written notice of the grounds for your appeal.
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Application Appeal An appeal from any final order (Camden County)

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Completed 17 July 2020

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