Fee Received Variation Request No.
Receipt No. Date
CITY OF TUSCOLA
REQUEST FOR VARIATION
(Execute in Triplicate)
Notice to Applicant:
All blanks must be filled in, in Decisions regarding a variation
entirety. Print or type. An may require up to 90 days after
incomplete or an illegible Request the conclusion of the public hearing.
for Variation will not be accepted. Read attached pages carefully.
DO NOT WRITE IN THIS SPACE -- FOR OFFICE USE ONLY
Date of Request Date of Hearing
Date of Published Notice Newspaper(s)
Date Adjacent Property Owners Notified
Comments:
Action Taken by Board: Variation Granted
Variation Denied
Dismissal
Continuance
Data on Applicant and Owner
Name Mailing Address Zip Code Tel. No.
Applicant
Owner
LOCATION OF PROPERTY IN QUESTION
(location) Zoning District
(No.) (Street)
Between and
(cross street) (cross street)
Present Use
DESCRIPTION OF PROPERTY
Width of Lot Length of Lot
Total Square Feet
Proposed Use
ACTIONS BY APPLICANT ON PROPERTY
Permit Applied For Yes No
Permit Denied Yes No Permit No.
An appeal was made with respect to this property?
An appeal was not made with respect to this property?
Appeal Application No. Appeal Denied
Appeal Application accompanies this Request for Variation.
REASONS FOR REQUEST FOR VARIATION
NOTE: The following questions must be answered completely. If additional space is
needed, attach extra pages to application.
Before answering, read the NOTICE TO APPLICANTS attached hereon.
l. What characteristics of your property prevent its being used for any of the uses
permitted in your zone?
Too narrow Elevation Soil
Too small Slope Subsurface
Too shallow Shape Other
(specify)
2. Describe the items checked, giving dimensions where appropriate.
3. How do the above site conditions prevent any reasonable use of your land under the
terms of the Zoning Ordinance?
4. To the best of your knowledge, was the hardship described above created by an
action of anyone having property interests in the land after the Zoning Ordinance
or application part thereof became law?
Yes No . If "Yes", explain why the hardship should not be regarded as self- imposed (self-imposed hardships are not entitled to variations).
5. Are the conditions on your property the result of other man-made changes (such as
the relocation of a road or highway)?
Yes No . If so, describe.
6. Which of the following types of modifications will allow you a reasonable use of
your land?
Change in set-back requirement
Change in side-yard requirement
Change in area requirement
Change in lot-coverage requirement
Change in off-street parking requirement
Other (describe)
7. State what the variation requested is, giving exact distances.
8. Are the conditions of hardship for which you request a variation true only to your
property? If not, how many other properties are similarly affected?
9. Will the granting of a variation in the form required be in harmony with the neighborhood and not contrary to the intent and purpose of the Zoning Ordinance?
Elaborate.
(attach extra pages as required)
NAMES OF SURROUNDING PROPERTY OWNERS
Following are the names and addresses of surrounding property owners from the property in question for a distance of two hundred fifty (250) feet in all directions, and the number of feet occupied by all public roads, streets, alleys, and public ways have been excluded in computing the 250 feet requirement. Said names are as recorded in the office of the County Recorder of Deeds (or the Registrar of Titles of the County) as appear from the authentic tax records of this County.
NAME ADDRESS
I (we) certify that all of the above statements and the statements contained in any papers or plan submitted herewith are true to the best of my (our) knowledge and belief.
(signature) Applicant (date)
(signature) Owner (date)
(Ord. 80-0-24, passed l-12-81)