APPLICATION FOR APPEAL/VARIANCE
City of Cameron
Instructions to Applicants: An applicant may
appeal to the Board of Adjustment for an interpretation, modification,
variation, or reversal of a decision of the building/zoning officer. The
applicant must provide all information requested below and must present his/her
case before the Board of Adjustment.
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Address of Property:
______________________________________________________
(if appeal is made with regard to a specific parcel of property)
Legal Description of Property: _______________________________________________
______________________________________________________________________
Name of Applicant: ____________________________________ Phone: _____________
Address: _______________________________________________________
Property Interest of Applicant:
( ) Owner ( )
Contract Purchaser ( )
Lessee ( ) Other_____________________
Name of Owner: ______________________________________ Phone: _____________
Address:
_________________________________________________________
Present Use of Property: ______________________________ Present
Zoning: _______
Decision of Action of Building/Zoning Officer which is being appealed:
________________
______________________________________________________________________
______________________________________________________________________
Description of appeal or variance of applicant:
___________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Signature of Applicant: ____________________________ Date:
__________________
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(DO NOT MARK BELOW THIS LINE)
Fee: $75.00 Date Paid: _____________________
Date of Hearing:
________________________ Date Notice Published:
________________
Decision of Board of Adjustment:
( ) Denied
( ) Approved Date:
_______________________