SF AC
Size of Tract
Please list all improvements on the site:
PMR-1
M-3 M-2 M-1
O-1 B-4 B-3 B-2 B-1
Is this property a Planned Unit Development?
YES Approval Date: ___________
NO
R-6 R-5 R-3 R-2 R-1
Present Zoning
Legal Description
Street Address
SECTION TWO: SITE INFORMATION
E-mailFaxTelephone
ZipStateCity
Address
Representative
E-mailFaxTelephone
ZipStateCity
Address
Property Owner
E-mailFaxTelephone
ZipStateCity
Address
Petitioner
SECTION ONE: PETITIONER / OWNER / REPRESENTATIVE INFORMATION
424-2781
FAX 424-2728
Economic and Urban Development Department
One Gary K. Anderson Plaza
Decatur, Illinois 62523-1196
Zoning Board of Appeals
PETITION FOR
PETITION FORPETITION FOR
PETITION FOR VARIANCE
City of Decatur, Illinois
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NOTES:
1. Please forward this completed form and attachments to the Economic and Urban Development Department, Third Floor, Decatur Civic
Center. A filing fee of $150.00 is charged for all requests for property in the R-1, R-2, R-3 and R-5 districts, and $250.00 for property in
all other districts. Please make checks payable to the City of Decatur.
2. Signature of this petition grants permission to City staff to place a sign, indicating a request for zoning action, on the subject property at least
10 days prior to the Zoning Board of Appeals hearing. Said sign will be removed within 15 days of the Zoning Board hearing.
Date
Petitioner’s
Signature
To be placed on the agenda of the regular meeting on the second Thursday of the month
at 4:00 PM in the City Council Chamber, petition must be received on the first Thursday
of the prior month. Petitioner or a representative must be present to make statements to
the Board and to answer questions. Incomplete or erroneous petitions may delay items
being heard by the Zoning Board of Appeals.
SECTION FIVE: CERTIFICATION
Attachments to this petition should include a scaled sketch plan of your proposal showing property lines, lot dimensions, building
dimensions, all buildings on the property, setbacks, requested changes in the requirements and other necessary information.
Please label this sketch plan as “Exhibit A” and other supporting documents accordingly. Architectural or engineering drawings
are preferred, but not required.
Please list any attachments and/or supporting documents below:
Description
SECTION FOUR: ATTACHMENTS
Please state the reason for exception, variation or appeal to the Zoning Board of Appeals. Be as specific
as possible, detailing the circumstances that make an appeal necessary. Additional descr iption pages
may be attached.
Description
Other - classification of use, off-street
parking in an “R” zone, special
circumstances, etc.
Variation of
Parking &
Loading
Requirements
Variation of
Specified Site
Requirements
(e.g. setbacks)
Check One:
SECTION THREE: REQUESTED ACTION
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