City of Hickory – Variance Application
Page 1 of 3
DATE SUBMITTED: _________________
I (We), the undersigned, do hereby make application to the Hickory Board of Adjustment for
approval of a variance.
1. The property address of the property to be considered for review is located on
__________________________________________________________________ that is
between ____________________________________________________________ and
________________________________.
PIN NO. (S):___________________________________________________________
Physical (Street) Address: ________________________________________________
2. The property is owned by: (please print)______________________________________
(Attach a copy of the most recent deed, contract for purchase or other legal interest
demonstrating an interest in the property.)
Owner Information:
Name: _______________________________________________
Address: ______________________________________________________________
Phone Number: ________________________________________________________
Fax Number: ___________________ Email: _________________________________
3. The application is submitted by: ____________________________________________
(If the application is submitted by someone other than the owner proper authorization
from the property owner is required.)
Agent Information:
Name: _______________________________________________
Address: ______________________________________________________________
Phone Number: ________________________________________________________
Fax Number: ___________________ Email: _________________________________
4. The subject property is located in the __________________________________ Zoning
District.
5. The purpose of the requested action is to:______________________________________
CITY OF HICKORY
APPLICATION FOR VARIANCE
City of Hickory – Variance Application
Page 2 of 3
Variance Review Criteria
Zoning variances may be approved only when the Board of Adjustment finds substantial
evidence in the official record and the application to support all the following findings:
1. Unnecessary hardship would result from the strict application of this Land Development Code. It
shall not be necessary to demonstrate that, in the absence of the variance, no reasonable use can
be made of the property;
2. The hardship results from conditions that are peculiar to the property, such as location, size, or
topography. Hardships resulting from personal circumstances, as well as hardships resulting
from conditions that are common to the area or the general public, may not be the basis for
granting a variance;
3. The hardship did not result from actions taken by the applicant or the property owner. The act of
purchasing property with knowledge that circumstances exist that may justify the granting of a
variance shall not be regarded as a self-created hardship; and
4. The requested variance is consistent with the spirit, purpose and intent of the Land Development
Code, such that public safety is secured, and substantial justice is achieved.
All applicants must address all applicable standards and criteria. 30 copies of all application
materials larger than 11 inches by 17 inches must be submitted. Applicants are also encouraged
to submit a digital copy of all application materials.
Final Plan Approval
Prior to issuance of a building permit or other development permit, the Planning Director shall
review all final plans for compliance with all requirements of this Land Development Code and
conditions of variance approval required by the Board of Adjustment. The Planning Director may
require a final plan to be reviewed by the other departments if he finds that there are technical
issues that should be addressed by other departments of the City.
City of Hickory – Variance Application
Page 3 of 3
6. OWNER’S AFFIDAVIT
We, the undersigned owner(s), hereby certify that the information contained herein and submitted in
support of this application is true and correct.
________________________________ ______________________________________
Printed Name of Owner Signature of Owner
(Please choose the appropriate notary block)
State of North Carolina – County of __________________
I, the undersigned Notary Public of the County and State aforesaid, certify that
_________________________________ personally appeared before me this day and acknowledged the
due execution of this foregoing instrument for the purposes expressed herein. Witness my hand and
Notarial stamp or seal, this _________ day of _____________, 20____.
My Commission Expires: ___________________ _____________________________
Notary Public
State of North Carolina – County of __________________
I, the undersigned Notary Public of the County and State aforesaid, certify that
__________________________________ personally came before me this day an acknowledged the he /
she is the ___________________________ of __________________________________ corporation /
limited liability corporation / general partnership / limited partnership (strike through the inapplicable),
and that by authority duly given and as the act of such entity he /she signed the foregoing instrument in
its mane on its behalf as its act and deed. Witness my hand and Notarial stamp or seal, this
____________ day of _________________, 20_____.
My Commission Expires: ___________________ _____________________________
Notary Public
This Application must be submitted to the Planning Department by 5:00 p.m. on the last regular working
day of the month preceding the meeting at which it is to be considered by the Planning Commission. Only
complete applications will be accepted.