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APPLICATION FOR APPEALS
(Section 4.4)
PLANNING DEPARTMENT
700 FOX TRAIL
OPELIKA, AL 36801
DATE:
Zoning Board of Adjustment Meeting Date:
Case Number:
Meeting Deadline:
PART I. OWNER / APPLICANT INFORMATION
Owner Name Address Phone
Agent Name (if applicable) Address Phone
PART II. PLANNING DIRECTOR/ZONING ADMINISTRATOR INTERPRETATION AND
DECISION
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________
Signature Date
PART III. PARCEL INFORMATION
Street Address:
Current Zoning:
Current Land Use: _______
PART IV. Provide a Brief Description and Reason for the Appeal (attach site plan and
zoning map)
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signature
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Provide the Names and Addresses of ALL adjoining Property Owners:
________________________________ ________________________________
________________________________ ________________________________
FEES:
Total Number of Adjoining Property Owners
X $7.00 =
_________
+ Fee
$75.00
TOTAL
_________
____________________________________________________________________________
PART V.
I hereby request that the Zoning Board of Adjustment review an appeal request for my property located at (street
address) . Enclosed are the true and accurate names and addresses of all adjacent
property owners. I understand that the City may require additional information, or waive certain requirements, in
order to make a decision on the request at any time during the process.
Signature Date
Signature Date
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signature
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signature
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