If represented, please give APPEAL NO.:

the following information NAME:

Rep. Name ADDRESS:

Address

PHONE

Phone Zone Section

BOARD OF ADJUSTMENT - NOTICE OF APPEAL

DIMENSIONAL VARIANCE

I, , the undersigned hereby appeal to the Versailles-Midway-Woodford County, Kentucky, Board of Adjustment for authorization of a (Building Permit) or (Certificate of Occupancy) for the property located at , in accordance with the 1994 Amended Versailles-Midway-Woodford County Zoning Ordinance adopted and in force as of August 1994 and as subsequently amended.

Dimensional Variance appeal Section Of the Versailles-Midway-Woodford County Zoning Ordinance. Describe the amount of variance requested.

Specifically describe how each CRITERIUM applies to the property:

A. How does the requested variance arise from special circumstances which do not generally apply to land in the general vicinity, or in the same zone?

B. Why would the strict application of the provisions of the regulation deprive the applicant of a reasonable use of the land or why would it create an unnecessary hardship on the applicant?

C. Why are such special circumstances not the result of actions of the applicant taken subsequent to the adoption of the zoning regulation?

D. List the reasons that the variance would not adversely affect the public health, safety and welfare, and why it will not alter the essential character of the general vicinity, and will not cause a hazard or nuisance to the public.

Please attach a copy of building permit application and site (plot) plan.

(Date) (Appellant’s Signature)

(FOR OFFICIAL USE ONLY)

BOARD OF ADJUSTMENT - DECISION OF APPEAL

In accordance with Article IV, Section 401C, the Board reviewed the appeal for a variance to the requirements of Section of the Zoning Ordinance and have applied the following criteria:

1. The requested variance arises from special circumstances which do not generally apply to land in the general vicinity, or in the same zone;

2. The strict application of the provisions of the regulation would deprive the applicant of a reasonable use of the land or would create an unnecessary hardship on the applicant;

3. Such special circumstances are not the result of actions of the applicant taken subsequent to the adoption of the zoning regulation, and;

4. Reasons that the variance would not adversely affect the public health, safety and welfare, and will not alter the essential character of the general vicinity, and will not cause a hazard or nuisance to the public.

It was determined that all four of the above conditions (were) (were not) present and records the following motion:

Hearing Date: Signed:

Secretary, Board of Adjustment

Zoning Administrator Date Filed

Date of Notice to Parties in Interest

Date of Notice to Newspaper

Date of Public Hearing Fees Paid: