Bessemer City Zoning Code

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: ____________

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Provision of the Zoning Ordinance or district boundary in question: ____________

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Sec. 2. Application for an adjustment.

As required by the Zoning Ordinance

Provision of the Zoning Ordinance Requiring a Special Exception in this case: ____________

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Description of proposed use showing justification for a Special Exception: ____________

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Sec. 3. Application for an adjustment.

As required by the Zoning Ordinance

Provision of the Zoning Ordinance from which an adjustment is requested: ____________

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Peculiar or unusual conditions which justify an adjustment is requested: ____________

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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:

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Date ________    ______________________
 Chairman, Zoning Board of Adjustment