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WestColumbiaSpecialExceptionApplicationPage1of4

CITY OF WEST COLUMBIA

Zoning Board of Appeals

SpecialException Appeal

Appeal#:   DateFiled:   PermitApplication#:  

Instructions–PleaseRead

This form must be completed for a hearing on an applica tion for a special  exception.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specialexception.Noapplication

for a special exception 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2);

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specialexceptionhasbeenrequested.



THEAPPLICANTHEREBYAPPEALSFORASPECIALEXCEPTIONASSTATEDWITHINTHIS DOCUMENT

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:

 

DESIGNATIONOFAGENT

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:

CreatedApril5,2010

WestColumbiaSpecialExceptionApplicationPage2of4

1. ApplicantherebyappealstotheZoningBoardofAppealsforaspecialexceptionforuseofthepropertydescribedon

page1ofthisapplicationas(natureoftheproposeduse):



which

isapermittedspecialexceptionunderthedistrictregulationinSection  

oftheZoningOrdinance.

2. ApplicantwillmeetthestandardsinSection 

oftheZoningOrdinancewhichareapplicabletothe

proposedspecialexceptioninthefollowingmanner:





3. ApplicantsuggeststhatthefollowingconditionsbeimposedtomeetthestandardsintheZoningOrdinance:





4. Thefollowingdocumentsaresubmittedinsupportofthisapplication:



(Aplotplanmustbesubmitted.)



PROPOSEDNEWCONSTRUCTION

1. Freestandingstructure,building,orsign  Additiontoanexistingstructure,building,orsign

2. Describeuse:



3. Numberofsquarefeet:

Totalnumberofparkingspacesonlot:

4. Maximumheightofstructure,building,orsignabovefinishedgrade: 

Numberofstories:  

EXISTINGUSESANDBUILDINGONLOT

(Tobeansweredonlyifstructures,buildings,orsignsalreadyexistonlot)

1. Numberofexistingstructures,buildings,orsigns:  

2. Sizeanduseofexistingstructures,buildings,orsigns(useadditionalpaperifnecessary):

 a. Sq.Ft. 

Use:

 b. Sq.Ft. 

Use:

 c. Sq.Ft. 

Use:

 d. Sq.Ft. 

Use:

Applicantsignature(s):



Date:



CreatedApril5,2010

WestColumbiaSpecialExceptionApplicationPage3of4

CreatedApril5,2010

ADMINISTRATIVEUSEONLY–APPLICANTDOESNOTCOMPLETETHISSECTION

  TheuseandconstructionasproposedhereincomplieswiththetermsoftheZoningOrdinanceexceptforthe

specialexceptionrequested.



 TheuseandconstructionasproposedhereindoesnotcomplywiththetermsoftheZoning Ordinanceexcept

forthespecialexceptionrequested,explainedasfollows:



ZoningAdministratorSignature:



ZONINGBOARDOFAPPEALSUSEONLY–APPLICANTDOESNOTCOMPLETETHISSECTION

1. FindingsoftheZoningBoardofAppeals:

a. EmpoweredtograntaspecialexceptionunderSection  

oftheZoningOrdinance:

Yes No

b. Grantingofthisspecialexception:



willadverselyaffectthepublicinterest.



willnotadverselyaffectthepublicinterest

2. Thespecialexceptionisgrantedwiththefollowingcondition,safeguards,orrevisionsasfollowsandasstatedinthe

findingsoffacts:





Timelimitprescribed:



3. Therequestedspecialexceptionisdeniedforthefollowingreasonsandasstatedinthefindings offacts: 





RECORDOFVOTE

1.2.

3.

4.

5.





ZoningBoardofAppealsChairmanDate

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