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.

Address of Property: 											
				(if appeal is made with regard to a specific parcel of property)

Legal Description of Property: 									

													

Name of Applicant: 						 Phone: 				

Applicant’s Address: 											

Property Interest of Applicant:
 Owner	 Contract Purchaser 	 Lessee	 Other: 				

Name of Owner: 						 Phone: 				

Address of Owner: 											

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: 					

DO NOT MARK BELOW THIS LINE

Fee: $75.00							Date Paid: 				

Date of Hearing: 					  Date Notice Published: 			

Decision of Board of Adjustment:
 Approved	 Denied					Date: