THIS SPACE FOR DEVELOPMENT SERVICES STAFF ONLY
Case Number VAR - _______ - _______ Submittal Date: _____________________ Filing Fee Receipt # __________________ Received By: _______________
PIN# __________________________________ REID# _________________ Zoning: _________ Book of Maps: ______________ Page: ____________
Acres: ________________ Census Tract: ___________
Site Address:
PROPERTY INFORMATION:
A P P L I C A T I O N F O R V A R I A N C E
Zip:
City/State:
Fax:
Phone:
Project Name (if applicable):
Name:
Address:
Last Updated: 6/4/14
950 Steeple Square Court
Knightdale, NC 27545
SERVICES
(v) 919-217-2241 / (f) 919-217-2249
www.knightdalenc.gov
DEVELOPMENT
By completing and signing this application, the applicant hereby requests the Land Use Review Board (LURB) to vary or
modify the specified regulations and/or provisions of the Unified Development Ordinance (UDO) due to special conditions
or unnecessary hardships as outlined on Page 2 of this application. The submittal of this application authorizes the Town of
Knightdale to enter onto the property in order to conduct a site inspection and to post the property in accordance with the
Town's public notification requirements. At the hearing, an individual applicant may give testimony themselves and present
evidence from experts that they have gathered; however, if the applicant desires to have experts speak during the hearing or
the applicant is a corporate entity, an attorney representing the applicant must be in attendance.
OWNER INFORMATION:
Email:
APPLICANT INFORMATION (if different from above - authorized agent, lessee or contract purchaser):
Zip:
City/State:
Fax:
Phone:
Name:
Address:
Email:
A super-majority vote of four-fifths (4/5) of the voting members of the LURB is required to approve any request for
variance. In all matters before the Board, the applicant shall have the burden of providing clear, competent and material
evidence in support of the application. The Board may prescribe appropriate conditions and safeguards in conformity with
the UDO when granting a variance. Unless otherwise authorized by the LURB and included in its decision to grant a
variance, an order of the Board in granting a variance shall expire if a building permit or Certificate of Occupancy (for a use for
which a building permit is not required) has not been obtained within one (1) year from the date of the decision.
It is hereby acknowledged that the following items are NOT cause for a variance to be granted:
* The request for a particular use expressly, or by inference, prohibited in the District involved.
* Hardship resulting from personal circumstances.
* Hardship resulting from conditions that are common to the neighborhood or the general public.
* Any request that will cause a structure to be in violation of other Federal, State, or local laws, regulations or ordinances.
* Any request within any designated floodway or non-encroachment area where the variance would result in any increase
in flood levels during the base flood discharge.
(v) 919-217-2241 / (f) 919-217-2249
www.knightdalenc.gov
DEVELOPMENT
950 Steeple Square Court
Knightdale, NC 27545
SERVICES
1. This application is hereby made to the LURB requesting a variance from Chapter/Section(s)
of the Unified Development Ordinance.
2. Specifically describe the type, dimension and/or location of the variance requested (i.e. "Rear Yard Setback variance of 3 feet to
allow for a 22-foot setback rather than the required 25 feet.")
5. Please complete the following:
I, , hereby offer the following information in support of the required
Findings of Fact: (attach additional sheets if necessary):
a. The following unnecessary hardships would result from the strict application of the UDO:
b. The identified hardship(s) is the result of conditions peculiar to the property, including (check all that apply):
location
size
topography
other (please write in):
c. The identified hardship did not result from actions taken by the applicant or property owner:
d. For the following reasons the variance requested is consistent with the spirit, purpose and intent of the UDO, such
that public safety is secured and substantial justice is achieved:
FOR FLOOD DAMAGE PREVENTION ORDINANCE VARIANCE REQUESTS ONLY:
e. The variance is the minimum necessary, considering the flood hazard, to afford relief:
f. For the following reasons there is a showing of good and sufficient cause for the variance:
g. The granting of a variance will not result in increased flood heights, additional threats to public safety, or extraordinary
public expense, create nuisance, cause fraud on or victimization of the public or conflict with existing local laws or
ordinances:
3. If applicable, attach a sketch of the proposed placement of future structures drawn on a current survey of the property, or
provide a current survey of the existing structure. Also, show pertinent information such as provision for access, parking,
etc.
4. Describe any proposed conditions to the variance request that might be appropriate to reduce or minimize any injurious
effects the variance may have:
All owners must sign and have signatures notarized. Corporations, LLCs and Partnerships must sign (authorized corporate officer, general partner or LLC
manager[s]), include company name and seal (if applicable), have a witness attest to the signature and have signature notarized. (Attach additional sheets if needed.)
Owner 1: Date:
(Signature and Title)
Owner 2: Date:
(Signature and Title)
Corporation/LLC/Partnership Name: Corporate Seal:
Attest: Date:
(Signature and Title)
NOTARIZATION
NORTH CAROLINA
COUNTY
I, the undersigned Notary Public in and for the aforesaid County and State, certify that
personally came before me this day and acknowledged the due execution of the foregoing instrument. Witness my hand and notorial seal
this the day of , 20 .
Notary Public
My commission expires:
(v) 919-217-2241 / (f) 919-217-2249
www.knightdalenc.gov
DEVELOPMENT
950 Steeple Square Court
Knightdale, NC 27545
SERVICES
APPLICANT SIGNATURE:
SUBMITTAL REQUIREMENT CHECKLIST:
COMPLETED APPLICATION FORM. Application must be signed by the property owner and applicant (if applicable), and all signatures must be notarized.
Applications are considered complete only when all required information, including all supporting materials specified by the Planning Department, is
accompanied by the applicable fee. The Planning Department shall make a determination of completeness. If an application is deemed incomplete, the
Department will notify the applicant of the status along with an explanation of deficiencies. No further processing will take place until deficiencies are
corrected in the form of a re-submittal. Consequently, incomplete applications may or may not maintain the original processing cycle.
$500.00 PROCESSING FEE.
COPY OF THE RECORDED PLAT/SURVEY OF THE PROPERTY, WITH METES AND BOUNDS DESCRIPTION.
SUPPLEMENTAL INFORMATION, such as site plans, environmental studies, architectural plans, etc., that is necessary to rule on the required Findings of Fact. The
applicant shall have the burden of providing clear, competent and material evidence in support of the application.
OWNER(S) SIGNATURES:
I, , the undersigned, being first duly sworn, depose and say that I am the owner,
attorney, attorney-in-fact, agent, lessee, or contracted purchaser of the property described and which is the
subject matter of this application.
Applicant: Date:
(Signature and Title)
NOTARIZATION
NORTH CAROLINA
COUNTY
I, the undersigned Notary Public in and for the aforesaid County and State, certify that
personally came before me this day and acknowledged the due execution of the foregoing instrument. Witness my hand and notorial seal
this the day of , 20 .
Notary Public
My commission expires:
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