2. 
4. HEARING REQUEST APPLICATION

   The Board of Zoning Appeals hears appeals of the requirements of the Zoning and Sign Ordinances, appeals form administrative decisions, and requests for Special Exception uses listed on Chart 1 of the Zoning Ordinance.

6. Location/Street Address:
8. Tax Map:
9. Group:
10. Parcel:
11. Zoning District:
13. Applicant First Name*
14. Applicant Last Name*
16. Address1*
18. Address2
20. City*
21. State*
22. Zip*
24. Daytime Phone Number*
25. Cell Phone Number
27. Work Phone Number
28. Extension
30. Email Address*
32. Property Owner First Name (If Different)
33. Property Owner Last Name
35. Address1
37. City
38. State
39. Zip
41. Daytime Phone Number
42. Cell Phone Number
44. Work Phone Number
45. Extension
47. Email Address
49. Request:
50. Zoning District:
52. Applicant Signature:
53. Date:
    Date:
57. Office Use Only Below:
59. Received By:
60. Receipt #:
62. Application #:
63. Date:
Leave This Blank:


65. 1. Receive an email copy of this form.
66. Email address

    This field is not part of the form submission.

67. Submit

* indicates a required field