City of Manchester
14318 Manchester Road
P: (636) 227-1385 ext. 118
Rev. 12/2017
Petition for
Appeal/Variance
of Ordinance
PROJECT ADDRESS:
Owner:
Address: Phone:
City, State, Zip: Email:
Applicant:
Address: Phone:
City, State, Zip: Email:
REQUIREMENTS:
1. Completed Application Form
2. TWO (2) sets of construction drawings & Site Plan showing improvements to scale for initial review.
a. A description of the scope of work and reason of hardship generating the variance request.
b. Any other pertinent information for the Board to review that provides background for the request.
3. TWELVE (12) sets of construction drawings & Site Plans for Board Review.
4. Payment of variance fee: Fee for Residential $50 - Non-Residential $300.
*Submission for appeal/variance must be received at least twenty (20) business days in advance of Board meetingdate.*
Description of Property: Lot Number: Subdivision Name:
Statement of
Appeal/Variance
Requested:
I hereby certify that the information contained in this application and accompanying documents are correct, and that I
will conform to all applicable laws of the City of Manchester.
Applicant Signature: Date:
Applicant’s Name Printed:
FOR OFFICE USE ONLY BELOW
Ordinance #78-952 Section No(s): City of Manchester Variance#:
Approved by: Date:
Director, Planning, Zoning and Economic Development
Zoning Fees Fee paid on: Amount:
