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APPLICATION FOR A ZONING CERTIFICATE
(File in Duplicate)
THIS APPLICATION, WHEN PROPERLY APPROVED, SHALL CONSTITUTE
A ZONING CERTIFICATE.
NO.
NAME
ADDRESS
PHONE NUMBER
LOCATION OF PROPERTY
SIZE OF PROPERTY
RESIDENTIAL
NUMBER OF DWELLING UNITS NUMBER OF STORIES
HEIGHT FLOOR AREA PER UNIT
FRONT YARD SETBACK REAR YARD SETBACK
SIDE YARD SETBACKS AND
LOT WIDTH
BUSINESS
PROPOSED USE
FRONT YARD SETBACK REAR YARD SETBACK
OFF-STREET PARKING SPACES (Number)
NUMBER OF STORIES HEIGHT
INDUSTRIAL
PROPOSED USE
FRONT YARD SETBACK REAR YARD SETBACK
SIZE OF PROPERTY
SIDE YARD SETBACK AND
HEIGHT
OFF-STREET PARKING SPACES (Number)
ACCESSORY BUILDING OR USE (Describe)
SETBACKS: FRONT REAR SIDE SIDE
OTHER STRUCTURE (Describe)
SETBACKS: FRONT REAR SIDE SIDE
ATTACH A SITE PLAN SHOWING:
BOUNDARIES OF PROPERTY
ABUTTING STREETS AND ROADS
ALL EXISTING STRUCTURES
PROPOSED STRUCTURE
FOR WHICH CERTIFICATE IS SOUGHT
CITY OF SHELBY, RICHLAND COUNTY, OHIO
APPLICATION NO.
APPLICATION FOR A CONDITIONAL ZONING CERTIFICATE
(File in Duplicate)
THIS APPLICATION, WHEN PROPERLY APPROVED, SHALL CONSTITUTE A CONDITIONAL
ZONING CERTIFICATE.
NAME OF APPLICANT
ADDRESS
PHONE NUMBER
LOCATION OF LAND FOR WHICH CONDITIONAL CERTIFICATE IS SOUGHT
ZONING DISTRICT
SECTION OF ORDINANCE INVOLVED
Date Applicant Signature
ATTACH A SITE PLAN SHOWING:
BOUNDARIES OF PROPERTY
ABUTTING STREETS OR ROADS
EXISTING STRUCTURES
PROPOSED STRUCTURES
ACTION OF BOARD OF ZONING APPEALS
CONDITIONAL ZONING CERTIFICATE IF GRANTED/DENIED.
CONDITIONS (IF ANY) UPON WHICH CERTIFICATE IS GRANTED:
Date President, City Planning Commission
City of Shelby
CITY OF SHELBY, RICHLAND COUNTY, OHIO
APPLICATION NO.
APPLICATION FOR A VARIANCE
(File in Duplicate)
THIS APPLICATION WHEN PROPERLY APPROVED SHALL CONSTITUTE
A VARIANCE CERTIFICATE.
NAME OF APPLICANT
ADDRESS
PHONE NUMBER
LOCATION OF LAND FOR WHICH VARIANCE SOUGHT
ZONING DISTRICT
NATURE OF VARIANCE REQUESTED
SECTION OF ORDINANCE INVOLVED
GROUNDS UPON WHICH VARIANCE SHOULD BE GRANTED
Date Applicant Signature
ATTACH A SITE PLAN SHOWING:
BOUNDARIES OF PROPERTY
ABUTTING STREETS OR ROADS
EXISTING STRUCTURES
PROPOSED STRUCTURES
ACTION OF BOARD OF ZONING APPEALS
VARIANCE IS GRANTED/DENIED
Date Chairperson, Board of Zoning Appeals
City of Shelby
CITY OF SHELBY, RICHLAND COUNTY, OHIO
APPLICATION FOR AMENDMENT TO THE
CITY OF SHELBY ZONING CODE
ALL APPLICATIONS MUST BE SIGNED BY AN OWNER OR LESSEE.
NAME OF APPLICANT
ADDRESS
PHONE NUMBER
LOCATION OF PROPERTY TO BE REZONED
CURRENT DISTRICT
PROPOSED DISTRICT
IF THE AMENDMENT SOUGHT INVOLVES A CHANGE IN THE TEXT RATHER THAN THE USE DISTRICT, ATTACH PROPOSED LANGUAGE AND SPECIFY SECTION TO BE AMENDED.
ATTACH A SITE PLAN SHOWING BOUNDARIES OF PROPERTY, ABUTTING STREETS AND ROADS.
ATTACH A LIST OF THE NAME AND ADDRESS OF ALL PROPERTY OWNERS WITHIN, CONTIGUOUS TO AND DIRECTLY ACROSS THE STREET FROM THE PROPERTY TO BE REZONED.
Date Applicant Signature
CITY OF SHELBY, RICHLAND COUNTY, OHIO
APPLICATION NO.
APPLICATION FOR A NONCONFORMITY CERTIFICATE
(File in Duplicate)
THIS APPLICATION, WHEN PROPERLY APPROVED, SHALL CONSTITUTE A
CONDITIONAL ZONING CERTIFICATE.
NAME OF APPLICANT
ADDRESS
PHONE NUMBER
LOCATION OF USE, STRUCTURE OR LOT FOR WHICH NONCONFORMITY CERTIFICATE IS SOUGHT:
ADDRESS
LOT NUMBER ZONING DISTRICT
SECTION(S) OF ORDINANCE INVOLVED
EXPLAIN IN DETAIL THE NONCONFORMITY
IF MORE SPACE IS NEEDED ATTACH SEPARATE SHEET. IF IT WILL HELP IN EXPLANATION, A SITE PLAN MAY BE INCLUDED.
Date Applicant Signature
BASED UPON THIS APPLICATION, A NONCONFORMITY CERTIFICATE IS ISSUED.
Date Zoning Inspector
