Application for a Land Division Variance
Date Received: __________
Date Complete: __________
File Number: __________
Application Fee $: __________
Applicant’s Name:
___________________________________________
Property Owner:
_________________________________________
Applicant’s Address:
___________________________________________
Owner’s Address:
_________________________________________
Applicant’s Phone and e-mail:
___________________________________________
Owner’s Phone and email:
_________________________________________
Subject Property Address:
_______________________________________________________________________________________
Subject Property Assessor’s Map and Tax Lot:
_______________________________________________________________________________________
Subject Property Size:
_______________________________________________________________________________________
Subject Property: Zoning Classification
___________________________________________
Comprehensive Plan Classification:
_________________________________________
Nature of Applicants Request
Variance Request from Sweet Home Municipal Code Sections:
_______________________________________________________________________________________
Narrative describing the proposed variations from the stated code sections. Brief Description on this form and
attach extra sheets if needed.
_______________________________________________________________________________________
_______________________________________________________________________________________
Description of the alternatives considered and the reason for the choices made.
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
A brief review of how the application meets the review criteria. Attach sheets if needed.
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
The checklist on the other side of this application lists the required items must be submitted with this
application and the Criteria the request must meet. Please address all items that apply to this request.
I certify that the statements contained on this application, along with the submitted materials, are in
all respects true and are correct to the best of my knowledge and belief.
Applicant's Signature:
__________________________________________________
Date:
___________________________________
Property Owner’s Signature:
__________________________________________________
Date:
___________________________________
Within 30 days following the filing of this application, the City Planner will make a determination of
completeness regarding the application. If deemed complete, the application will be processed.
Land Division Variance Application Form 6/8/20
$590.00