Fillable Planning & Zoning Department APPLICATION FORM BOARD OF (City of Fairmont)

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Planning & Zoning Department APPLICATION FORM BOARD OF (City of Fairmont)

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APPLICATION FORM

BOARD OF ZONING APPEALS—VARIANCE

Planning & Zoning Department

200 Jackson St., Fairmont WV 26554

Phone (304) 366-6211, Ext 333

Fax (304) 366-0228

planning@fairmontwv.gov

Office Use

Application No. _______________ Review Fee _______________ Hearing Date ____________

Date Received _______________ Receipt No. _______________ Complete _______________

I. APPLICANT

APPLICANT’S NAME ____________________________________________________________________________

ADDRESS ____________________________________________________________________________________

CITY _________________________________ STATE ______________________________ ZIP _______________

PHONE ______________________________________ FAX ____________________________________________

II. PROPERTY INFORMATION

PROPERTY ADDRESS __________________________________________________________________

GENERAL LOCATION __________________________________________________________________

LEGAL DESCRIPTION

 ATTACHED  ON PLAT

PROPERTY TAX MAP AND PARCEL NO. _____________________________________________________

III. NARRATIVE—Please describe the nature and extent of your variance request(s).

___________________________________________________________________________________

IV. ATTEST

I hereby certify that I am the owner of record of the named property, or that this application is

authorized by the owner of record and that I have been authorized by the owner to make this

application as his/her authorized agent. I agree to conform to all applicable laws of this jurisdiction.

The granting of the variance does not presume to give authority to violate or cancel the provisions of

any other federal, state, or local law regulating construction or the performance of construction. I

certify that the information submitted herein and attached hereto is true and accurate and understand

that if found otherwise may result in the denial of this request or subsequent revocation of any and all

related approvals. The undersigned has the power to authorize and does hereby authorize City of

Fairmont representatives on official business to enter the subject property as necessary to process the

application and enforce related approvals and conditions.

SIGNATURE OF APPLICANT/AGENT (Print/type name of applicant/agent)

*You or a representative MUST be present at the scheduled hearing to present the request and answer

questions. Failure to appear at the hearing will result in your request being tabled.

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APPLICATION FORM

BOARD OF ZONING APPEALS—VARIANCE

Planning & Zoning Department

200 Jackson St., Fairmont WV 26554

Phone (304) 366-6211, Ext 333

Fax (304) 366-0228

planning@fairmontwv.gov

VI. SUPPLEMENTAL INFORMATION

Depending on the type of variance requested and the scale and scope of the development

proposal, supplemental information may be needed to assist the Board of Zoning Appeals in

rendering a variance decision. Staff will check the appropriate boxes below that must be

addressed.

Land Use Characteristics (complete only those that apply)

Residential Single-Family Dwelling Townhouse Dwelling

Two-Family Dwelling Multi-Family Dwelling

Non-Residential or Mixed (please explain)

___________________________________________________________________________________

Structure Characteristics (complete only those that apply)

Total number of buildings:________________Gross floor area of each building:__________________

Estimated number of employees:________No. of dwelling units:________No. of bedrooms:________

Additional structure-related details:

___________________________________________________________________________________

Site Plan– A scaled site plan may be required to assist the Board in rendering a variance

decision. The following features must be represented, as required by Staff.

• Location, shape, exterior dimensions and number of stories of each building on the site.

• Standard yard setbacks for the applicable zoning district.

• Location, grade and dimensions of paved surfaces and all abutting streets.

• Existing and proposed contours at an interval of at least two(2) feet.

• Complete traffic circulation plan showing dimensions, entrance/exit drives, planters and

similar improvements.

• Location of landscaped areas (to be detailed on landscape plan), fences, walls and other

screen required.

For simple Variance requests (as determined by Staff), please use the graph area on the

following page to illustrate applicable features listed above.

Additional Information (as required by Staff)

___________________________________________________________________________________

APPLICATION FORM

BOARD OF ZONING APPEALS—VARIANCE

Planning & Zoning Department

200 Jackson St., Fairmont WV 26554

Phone (304) 366-6211, Ext 333

Fax (304) 366-0228

planning@fairmontwv.gov

APPLICATION FORM

BOARD OF ZONING APPEALS—VARIANCE

Planning & Zoning Department

200 Jackson St., Fairmont WV 26554

Phone (304) 366-6211, Ext 333

Fax (304) 366-0228

planning@fairmontwv.gov

VII. Findings of Fact

The Board of Zoning Appeals may grant a variance request only if each of the following “Findings of Fact” criteria is deter-

mined to be in the positive. Applicants must give their own responses to the following criteria statements.

1. It will not adversely effect the public health, safety, welfare or the rights of adjacent property owners, residents

or the neighborhood, because:

________________________________________________________________________________________________

2. It arises from special conditions or attributes which pertain to the property for which a variance is sought and

which were not created by the person seeking the variance, because:

________________________________________________________________________________________________

3. It would eliminate an unnecessary hardship and permit a reasonable use of the land, because:

________________________________________________________________________________________________

4. It will allow the intent of the Zoning Ordinance to be observed and substantial justice done, because:

________________________________________________________________________________________________

5. It is the minimum variance that will accomplish this purpose, because:

________________________________________________________________________________________________

______________________________________________________________________________________________

_______________________________________________

_________________________________________________

________________________________________________________________________________________________

SIGNATURE OF APPLICANT SIGNATURE OF LEGAL OWNER

(Print/type name of applicant) (Print/type name of legal owner)

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Planning & Zoning Department APPLICATION FORM BOARD OF (City of Fairmont)

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Completed 10 August 2020

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