REQUEST FOR REASONABLE ACCOMMODATION
This request is per Wahoo Municipal Code Chapter 99, The Rehabilitation Act, The Americans with Disabilities Act, the Federal Fair Housing Amendments Act & The Nebraska Fair Housing Act.
Purpose: To provide or secure equal opportunity to use and enjoy a dwelling and/or otherwise receive services or participate in programs or activities provided by the city when the application of a City of Wahoo building code, fire or safety code, zoning law or other land use regulation, policy or practice acts as a barrier to such equal opportunities.
A request for reasonable accommodation may include a modification or exception to rules, standards and practices when such modification or exception is necessary to eliminate regulatory barriers and provide a person with a disability or handicap with equal opportunity to use and enjoy a dwelling and/or to otherwise receive services or participate in programs or activities provided by the city.
RETURN APPLICATION TO: City Clerk’s Office, 605 N. Broadway, Wahoo, Nebraska 68066. Questions? Contact the City Clerk at (402) 443-3222.
APPLICANT
NAME:
STREET ADDRESS:
CITY/STATE/ZIP:
EMAIL ADDRESS:
PHONE #: ( ) PROPERTY REQUEST IS BEING MADE FOR
STREET ADDRESS:
LEGAL DESCRIPTION:
ASSESSOR’S PARCEL #:
CURRENT ACTUAL USE OF THE PROPERTY:
LAW, PROVISION, REGULATION OR POLICY FROM WHICH REASONABLE ACCOMMODATION IS BEING REQUESTED:
ATTACHMENTS
The following items must be ATTACHED to the application.
• A statement from the applicant describing the basis for the claim that the individual (or group of individuals, if application is made by an entity acting on behalf of a person or persons with disabilities or handicaps) is considered disabled or handicapped under the Acts.
• A statement as to why the requested accommodation is financially, therapeutically, or otherwise necessary to afford a handicapped or disabled person equal opportunity to use and enjoy a dwelling and/or to otherwise receive services or participate in programs provided by the city.
• Documentation supporting the financial, therapeutic, or other necessity for the accommodation.
Dated this day of , 20 .
Printed Name of Applicant
Signature of Applicant
NOTE: Upon the filing of the application, together with all information required above, the City Council shall refer a request for reasonable accommodation to the City Administrator and Mayor who will then together issue a written recommendation to the City Council at a public hearing.
(Ord. 2336, passed 12-26-19)