All information requested on this Application must be supplied. Application and all enclosures must be filed not less than fifteen (15) days before the Board of Adjustment Hearing. No Board of Adjustment Hearing will be scheduled until this completed application has been submitted. A minimum of fifteen (15) days after receipt will be necessary before a hearing date is set. No demonstrative evidence, photograph, diagrams, etc. will be considered by the Board of Adjustment that has not been presented to the City Clerk's office. You are prohibited from contacting any Member of the Board of Adjustment to discuss your project prior to the Hearing. The Members of the Board are required to view your property before the Hearing. During the Hearing, you are granted twenty (20) minutes to speak on behalf of your project. This is a Legal Document. You may wish to consult an attorney regarding your request.
APPLICANT/OWNER________________________________________________________________________
ADDRESS _______________________________________________________________________________
HOME TELEPHONE _____________________ OFFICE TELEPHONE _________________________________
LOCATION: Street Address _____________________________________________________________
Subdivision ________________________________________________________________
Lot No. __________________Lot Size _________________________________________
If not in Subdivision, describe location:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
TYPE OF WORK: New Construction Addition Alteration
Replace Repair Demolition Other
TYPE OF STRUCTURE (Describe):_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
TO THE BOARD OF ADJUSTMENT:
Pursuant to the provisions of Chapter 18.120 of the Municipal Code of the City of Clarkson Valley, application is hereby made for a hearing before the Board of Adjustment of the City of Clarkson Valley, Missouri, for the following purpose(s):
_____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ and the grounds for the request for the Variance sought are: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ ATTACHED HERETO AS PART OF THIS APPLICATION ARE THE FOLLOWING: 1. Nine (9) copies of plats and plans showing: a. topography b. property and building lines (front, side & back marked) c. easements d. existing and proposed improvements e. all proposed changes with exact measurements for zoning change sought f. adjacent lots or tracts 2. The plats and plans must clearly cover and present the facts relating to this application a. must be certified within six (6) months of the date of this application by a licensed engineer b. elevation of the proposed new construction must be provided 3. Brief narration setting forth the specific grounds for the application. 4. Written consents (comments) from adjoining and neighboring property owners are required. The undersigned hereby certifies and affirms that all the above statements and the information contained in the above exhibits submitted herewith are true and correct. __________________________________________ ______________________________ Applicants Signature (must be signed by Owner) Date Received by: _______________________________ Date _________________________ Filing Fee $50.00 received Cost of Hearing $450.00 received Do you want a copy of the proceedings? Check yes You will be notified by phone or mail of the Hearing date.