If represented, please give                                     APPEAL NO.:                                            

the following information                                                    NAME:                                                       Rep. Name                                                                   ADDRESS:                                                

Address                                                                                                                                                                                                        PHONE                                                      Phone                                                                Zone                         Section                    

 

                                                                                         

                                        BOARD OF ADJUSTMENT - NOTICE OF APPEAL

                                            INTERPRETATION OF ZONING MAP

 

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.

 

 

Interpretation of Zoning Map appeal to the Board of an interpretation of the                                   , Kentucky Zoning Key Map.  Section                   (Indicate Section of map, if applicable.)

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           

 

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 401G, the Board reviewed the request for a zoning map interpretation and records the following motion:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      

 

Date of Hearing                                                 Signed:                                         

Chairman, 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: