Bessemer City Zoning Code
APPENDIX [1D].
APPLICATION FOR VARIANCE[5]
City of Bessemer
Zoning Board of Adjustment
TELEPHONE ___________ DATE ___________
APPLICANT ___________ ADDRESS ___________
OWNER ___________ ADDRESS ___________
LOCATION OF PROPERTY __________________
(Street and Number/Subdivision and Lot Number)
Note—Fill in Section 1, 2, or 3 as appropriate. Do not fill in more than one of these sections. This application is not acceptable unless all required statements have been made. Additional information may be supplied on separate sheets if the space provided is inadequate.
Sec. 1. Appeal from decision of building official.
Relation to the enforcement of the Zoning Ordinance
Describe decision of the Building Official from which appeal is made: _______
_________________________________________
_________________________________________
Provision of the Zoning Ordinance or district boundary in question: _______
_________________________________________
Sec. 2. Application for an adjustment.
As required by the Zoning Ordinance
Provision of the Zoning Ordinance Requiring a Special Exception in this case: ___
_________________________________________
_________________________________________
Description of proposed use showing justification for a Special Exception: ___
_________________________________________
_________________________________________
Sec. 3. Application for an adjustment.
As required by the Zoning Ordinance
Provision of the Zoning Ordinance from which an adjustment is requested: _______
_________________________________________
_________________________________________
Peculiar or unusual conditions which justify an adjustment is requested: _______
_________________________________________
_________________________________________
STATUS
Building Permit Number _______ Date _______ Signed ________
Date this Application Filed ___________
Notice of Hearing ___________
Advertised On ___________
Date of Hearing ___________
Notice Mailed To ___________
APPLICANT
DECISION
Granted
Application or appeal denied in accordance with terms of the following resolution:
_________________________________________
_________________________________________
Date _______ _________________________
Chairman, Zoning Board of Adjustment
Editor's note— Appendix D within the zoning regulations as adopted by the city council in Ordinance No. 3391, adopted September 16, 2008, has been renumbered to Appendix 1D. This change is indicated in brackets for clarity.