West Columbia Variance Application Page 1 of 4
Created February 22, 2010
C
ITY OF
W
EST
C
OLUMBIA
Zoning Board of Appeals
Variance Appeal
Appeal #: Date Filed: Permit Application #:
Instructions – Please Read
This form must be completed for a hearing on an application for a variance. Entries must be printed or
typewritten. If the application is on behalf of the property owner(s), all owners must sign. If the applicant is
not the owner, the owner(s) must sign the Designation of Agent. An accurate, legible plot plan showing
property dimensions and locations of structures and improvements must be attached to an application for a
variance. No application for a variance will be received for inclusion on the Zoning Board of Appeal’s agenda
unless the following conditions are met at least thirty (30) days prior to the date of the Board meeting:
a. All questions on this application have been fully answered (Use additional paper if necessary);
b. The application has been signed by the owner or agent with the signed Designation of Agent
(Signatures required on Page 1 and on Page 4);
c. A plot plan drawn to scale, showing the actual dimensions and shape of the lot, the exact size and
locations on the lot of all buildings and signs existing and proposed, and the location of all required
parking spaces has been submitted;
d. The Zoning Administrator has certified that the proposed use and construction plans comply with
all provisions of the Zoning Ordinance except those for which a variance has been requested.
T
HE
A
PPLICANT
H
EREBY
A
PPEALS FOR A
V
ARIANCE AS
S
TATED
W
ITHIN THIS
D
OCUMENT
Applicant(s)
Address:
Telephone: (work) (home)
Owner(s) [if other than Applicant(s)]:
Address:
Telephone: (work) (home)
(Use additional paper if necessary)
Property Address:
Tax Map #: Zoning District:
D
ESIGNATION OF
A
GENT
Complete only if owner is not applicant
I (we) hereby appoint the person named as Applicant as my (our) agent to represent me (us) in this application.
Owner signature(s):
Owner printed names(s):
Date:
I (we) certify that the information in this application and the attached documentation is correct.
Applicant signature(s):
Applicant printed names(s):
Date: