"*" indicates required fields Date* MM slash DD slash YYYY Name* First Last Name* First Last Phone*Email* Address* Mailing Address City State / Province / Region ZIP / Postal Code Type of Appeal Request*A hearing to decide appeal where it is alleged by appellant that there is an error in any order or requirement or decision or refusal in enforcing of the zoning ordinanceA variance in lot sizeA variance in yard setbackA variance in frontage widthAn interpretation of the Zoning map and or OrdinanceOtherPlease explain in detail your appeal request*State the reasons for making the appeal*Address of site that needs an appeal*If you are seeking to build on a lot that does not have frontage on a street but that does have access by a private right-of-way, are you willing to record a covenant to run with the land agreeing to participate in the cost of developing any future road as may be required by the city to replace your private right-of-way in order to access additional lots?*NoNot ApplicableYesList the special circumstances attached to this property which do not generally apply to other surrounding property in the same zone (i.e. topography, natural features, unusual shape, etc.*What rights or privileges which are possessed by other properties in the same zone, is this property deprived of because of the above listed special circumstances?*What are the unnecessary difficulties and hardships that will be imposed upon the appellant if the strict letter of the Zoning Ordinance is adhered to and the variance is not granted?*Applicant must submit a plat map (from the County Recorder's Office) which shows property location and a plot plan showing the nature of the request. (Show buildings, structures, driveways, etc. and all items relating to the appeal). Please also upload additional information that might be helpful to your case.*Max. file size: 50 MB.Property Owner Signature Δ