TULLAHOMA BOARD OF ZONING APPEALS
PO Box 807, 321 North Collins Street, Tullahoma TN 37388
P: 931-455-2282 F: 931-454-1768 www.tullahomatn.gov
APPLICATION FOR VARIANCE
$200 Fee
Applicant’s Name
Applicant’s Mailing Address City State Zip
Phone Number Fax Number Email
The applicant is responsible for notifying the Planning & Codes Department if any contact information has changed.
PLEASE COMPLETE THE FOLLOWING PROPERTY INFORMATION:
Property Owner (If different from Applicant)
Property Address City State
Tennessee
Zip
Tax Map Group Parcel Size of Parcel Deed Book Page
Present Zoning of Property Present Use of Property
The proposed structure is:
principal
accessory
What is the size of the proposed structure? (if applicable)
TYPE OF RELIEF REQUESTED: (PLEASE CHECK AND COMPLETE ALL APPLICABLE FIELDS)
Building setback
Amount of reduction requested
(
i.e. reduce front yard requirement to 10’
):
Building Height
Proposed height:
Accessory Structure Size
Proposed use of structure:
Lot Coverage
Square footage of existing structures:
Square footage of paved areas:
Parking Surface Material
Proposed parking surface
(i.e. gravel, sand):
Fire Hydrant Distance
Distance to the nearest fire hydrant:
Other
Describe in detail the relief requested:
Please provide a brief explanation that demonstrates the requested variance meets the criteria below. If
additional space is needed, please attach extra paper to the application.
The particular physical surroundings, shape, topographic conditions of the specific property involved that would
result in a particular hardship upon the owner as distinguished from a mere inconvenience, if the strict application
of this ordinance were carried out must be stated;
The conditions upon which the petition for a variance is based would not be applicable, generally, to other
property within the same district;
The variance will not authorize activities in a zone district other than those permitted by this ordinance;
Financial returns only shall not be considered as a basis for granting a variance;
The alleged difficulty or hardship has not been created by any person having an interest in the property after the
effective date of this ordinance;
The variance is the minimum variance that will make possible the reasonable use of the land, building, or structure;
The granting of the variance will not be detrimental to the public welfare or injurious to other property or
improvements in the area in which the property is located; and
The proposed variance will not impair an adequate supply of light and air to adjacent property, substantially
increase the congestion in the public streets, increase the danger of fire, endanger the public safety, or
substantially diminish or impair property values within the area.
I HEREBY CERTIFY THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE AND BELIEF.
Applicant’s Signature Applicant’s Name (Printed) Date
PLEASE INITIAL THE FOLLOWING POLICY STATEMENTS TO INDICATE THAT YOU HAVE READ AND UNDERSTAND THEM:
Applicant Deferral/Withdrawal Policy: It is the policy of the Board of Zoning Appeals that any requests to defer their
consideration of a variance request application be submitted to the Planning Director in writing prior to the
scheduled public hearing. If an applicant requests deferral or withdrawal after processing has begun, fees
are non-refundable. Applicants requesting a deferral will be charged the cost of preparing notices of public
hearing. Applicants may not defer an application for a period exceeding three (3) months from the original Board
of Zoning Appeals public hearing date of said application. Any application not considered before the three (3)
month deferral time-frame will be required to submit a new application, along with any required fees, and will be
subject to the regulations in effect at that time.
Applicants Initials____________
Commission Deferment Policy: When an applicant or their representative is not present at the regularly scheduled
meeting of the Board of Zoning Appeals (BZA), the BZA shall defer said application to their next scheduled meeting.
Applicants Initials____________
Typically variance applications require site inspections and building permits upon approval. All buildings must
comply with applicable building codes and the American Disabilities Act (ADA) for handicap accessibility.
Please contact the Planning & Codes Department at 931-455-2282 with any questions about building
permit application process, fees, or requirements.
Applicants Initials____________
The Board, its members, and employees, in the performance of its work, may enter upon any land within its
jurisdiction and make examinations and surveys and place or remove public notices as required by this ordinance.
Applicants Initials____________
CHECKLIST
Before we can accept your variance application, please make sure you have all the items listed below:
A completed application
A copy of the deed to the property
$200 application fee
A concept plan drawn to scale
A Letter of Attorney-in-Fact if submitted by
anyone other than current land owner
FOR STAFF USE ONLY
Accepted by
Receipt Number
Date