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THIS APPLICATION MUST BE SUBMITTED IN PERSON
I certify that I have submitted all of the required information and that the information is factual. I also understand if the
application is incomplete upon submission, it cannot be further processed and may be delayed until a future hearing
date.
__________________________________________________________________________________________
Name of Applicant Address Phone #
ALL NOTICES WILL BE MAILED TO THE APPLICANT UNLESS OTHERWISE NOTED:
__________________________________________________________________________________________
Name and address of person to be notified Phone #
_______________________________________
Signature of applicant Date
_______________________________________
Signature of applicant Date
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APPEAL SUBMITTAL CHECKLIST
Chapter 2.155, Section 2.155.060
The following information must be submitted as part of this application for an appeal or interpretation of the Zoning
Ordinance:
Check if Completed
_______1. Completed application for an Appeal or Interpretation.
_______2. Evidence to support your interpretation. (i.e.) dictionary meanings, legal definitions, common practices
in other applicable jurisdictions, manufacturer’s specifications, state or federal regulations.
_______3. Non-refundable filing fee for a variance based on the following if applicable
A. Residential with 0-499 mail-outs $500.00
B. Commercial, industrial or transition with 0-499 mail-outs: $2,084.00
C. Understand that a newspaper publication must be advertised for this variance case per Pinal
County staff instructions no later than 28 days prior to the hearing date as assigned. The
applicant is responsible for all publication fees.
_______4. Signed Appeal Checklist.
I certify that I have submitted all of the required information listed above, and I understand that this application for an
appeal or interpretation cannot be processed until all required information is submitted.
___________________________ ______________________________________
Signature Date
___________________________ ______________________________________
Signature Date
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