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ALL APPLICATIONS ARE DUE BY 11:59 P.M. ON THE DEADLINE DATES. It is highly recommended that the property owner and/or their representative meet with staff prior to submitting an application.

Nature of Request & Fees

Please select from the following:*

Variance

Appeal of Administration Decision

$200.00

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Requirements

All support documentation must be submitted in 81/2 x 11 plan sheets as a single portable digital format (pdf) along with this application and appropriate fee.

Owner of Property:*

Address:*

Home Phone:*

Cell Phone:

Work Phone:

Email:

Representative:*

Phone:

Email:

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Applicable Code Sections:*

Comments:*

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Please attach requirements indicated above:*

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

I certify that I am the owner or serve as the owner’s representative and am duly authorized to complete this application. I certify that all information required for review of this submittal is included. If an application is found to be incomplete, the primary contact will be notified and the application removed from the agenda. I understand that selecting the box below will serve as my electronic signature.*

I agree

Information of person completing electronic signature

Name:*

Date:

Address (if different from above):

Email:*

Phone:*