The undersigned requests a conditional use permit for the use specified below. Should this application be approved, it is understood that it shall only authorize that particular use described in this application and any conditions or safeguards required by the Board.
1. Locational Description
(If not in a platted subdivision attach a legal description of the area)
5. Supporting Information
Attach a plan for the proposed use (in triplicate) showing the location of building, parking, and loading areas, traffic access and circulation drives, open space, landscaping, utilities, signs, yards, and refuse and service areas. Also, attach a narrative statement relative to the above requirements and also explain the economic, noise, glare, and odor effects on adjoining property and the general compatibility with adjacent and other properties in the district.
For Official Use Only
Date of Notice in Newspaper:
Date of Notice of Adjacent Property Owner:
Fee Paid:
Decision of Board of Zoning Appeals:
If approved, the following conditions and safeguards were prescribed:
If denied, reason for denial:
Date:
Board of Zoning Appeals
Chairman
Note: One (1) copy to be filed with the Zoning Administrator and two (2) with the Board of Zoning Appeals.