APPENDIX M: APPLICATION FOR SUBDIVISION VARIANCES

Applicant Name:                                                                                                                  

Address:                                                                                                                            

Telephone:                                                            FAX:                                                       

Name of subdivision:                                                                                                            

Location:                                                                                                                             

Zoning District:                                                        

Application is hereby made for approval of a variance to the following sections of the subdivision regulations                                                         

Explain in detail the reasons for and facts supporting the requested variance: (Attach additional sheets if necessary.)

Applicant signature:                                                                                     

Date:                                                                                                         

   Planning Commission Action

Approved:                                Denied:                                 Other action:                                            

Comments                                                                                                                                             

Date of Action:                                         Chairman's Signature:                                                       

                  Secretary's Signature:                                                        

(‘65 Code, Part Thirteen, Appendix M) (Am. Ord. 08-026, passed 6-3-08)