Fillable Flood Plain Variance and Appeal Application (Clark County Board of Commission)

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Flood Plain Variance and Appeal Application (Clark County Board of Commission)

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BROWSE CLARK COUNTY BOARD OF COMMISSION (OH) FORMS

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Jerome Michael Asebrook
Flood Plain Administrator
Clar
k County Community & Economic Development
3130 E. Main Street, Suite 1A
Springfield, OH 45505
(937) 521-2160 (9710 328-2621 (fax)
Date Application Filed:________________
Case No.______________
1. Name of Applicant:_________________________________________________________________
2. Address:__________________________________________________________________________
3. City/State/Zip:_____________________________________________________________________
4. Phone Number: Residence _________________________ Business _________________________
5. Name of Owner:___________________________________________________________________
6. Address of Owner:_________________________________________________________________
7. Phone Number: Residence _________________________ Business _________________________
8. Site Address:______________________________________________________________________
9. Legal Description:__________________________________________________________________
10. Residential:___________________ Commercial ________________
11. Specify the Sections of the Flood Plain Regulations from which a Variance is sought______________
__________________________________________________________________________________
12. Explain how proposed development would vary from the provisions of the Flood Plain Regulations:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
13. Explain the hardship imposed if a strict application of the Flood Plain Regulations is enforced:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
NOTE: Applicant may attach any additional supporting documents and data that he/she feels
necessary to help explain this project and of the variance or appeal requested.
Flood Plain Variance and Appeal Application
THE REQUIRED FILING FEE MUST BE PAID PRIOR TO PROCESS. All data requested in this
application must be submitted in order to accurately review the proposed case. Incomplete data may result
in the application being rejected. This application and all required information must be typed or printed
legibly in pen.
An applicant receiving a variance to building a structure with the lowest floor elevation below the base
flood elevation (100 year) is hereby notified that the reduced floor elevation will increase the risk of
flooding and that the cost of flood insurance will be commensurate with increased risk.
Addressees will note that a public hearing will be scheduled within thirty (30) days of this application.
At the hearing you may be represented by council, present your arguments or contentions orally or in
writing, and present evidence and examine witnesses appearing for or against you.
As provided in Chapter 2506 of the Ohio Revised Code, those aggrieved by the decision of the “Board”
may appeal such decision to the County of Common Pleas, Clark County, Ohio.
Owner:_________________________________________________ Date:____________________
Administrator:__________________________________________ Date:____________________
Jerome Michael Asebrook, Flood Plain Administrator
Administration Use Only
Payment of filing fee $150. Checks or Money Orders shall be made payable to the Clark County
Community Development.
1) Date Received:____________________________________
2) Fee Received: ____________________________________
3) Date of Hearing:__________________________________
4) Date of Hearing advertised:_________________________
5) Vote and decision of the Board:__________________________________________________
(include date of decision if different from initial hearing)
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Flood Plain Variance and Appeal Application (Clark County Board of Commission)

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Completed 5 August 2020

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