APPLICATION TO THE IRONDALE ZONING BOARD OF ADJUSTMENT
HEARING DATE___________ HEARING TIME___________ CASE NO.______________
Under the provisions of Ordinance No. 1-0598, the Zoning Board of Adjustment of Irondale,
Alabama is hereby requested to:
________ Hear an appeal from a decision of the Building Inspector
________ Authorize a variance from the terms of the Zoning Regulations
________ Cause a permit to be issued for a special exception
PARCEL IDENTIFICATION NO._____________________________ZONED______________ SITE
ADDRESS________________________________________________________________
ISSUE________________________________________________________________________
______________________________________________________________________________
$25.00 Application Fee – Received By: _________________________Date:________________
Receipt Number__________________ Form of Payment: ___Check ___Cash ___ Credit Card
Site Development Plan Required: ______Yes _____No
I hereby certify that I am the owner/authorized agent of
the above described property.
__________________________________________
Owner/Authorized Agent's Signature
__________________________________________
Mailing Address
__________________________________________
City, State & Zip Code
__________________________________________
Telephone (including area code)
Zoning Board of Adjustment: Continued: _____ Approved: _____ Denied: _____
__________________________________________
Email Address
click to sign
signature
click to edit
![]()
