BOARD OF ADJUSTMENTS
APPLICATION FOR CONDITIONAL USE PERMIT PERMIT NO._________
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NAME OF PROPERTY OWNER (APPLICANT):____________________________________
ADDRESS:_________________________________PHONE: _______________________
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PROPERTY FOR WHICH PERMIT SOUGHT:
SIZE:__________________________________________________AREA: See attached
(ATTACH PLAT OR LEGAL DESCRIPTION OF PROPERTY)
ZONING CLASSIFICATION:_______________ ADDRESS:___________________________
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USE:
( ) RESIDENTIAL ( ) COMMERCIAL ( ) INDUSTRIAL ( ) OTHER
DETAILS (SINGLE FAMILY RESIDENCE, DUPLEX, ETC., GROCERY, ETC., TYPE OF
INDUSTRIAL, ETC.)
__________________________________________________________________________
REFER:____________________________________________________________________
ATTACH A PLAN OF THE PROPOSED SITE FOR THE CONDITIONAL USE SHOWING THE
LOCATION OF ALL BUILDINGS, PARKING AND LOADING AREAS, TRAFFIC ACCESS AND
TRAFFIC CIRCULATION, OPEN SPACE, SIGNS, YARDS, AND OTHER SUCH INFORMATION
AS THE BOARD MAY REQUIRE TO DETERMINE IF THE PROPOSED CONDITIONAL USE
MEETS THE INTENT AND REQUIREMENTS OF THIS ORDINANCE AND IS
APPROPRIATE FOR THE LOCATION AT WHICH IT IS PROPOSED.
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NARRATIVE STATEMENT OF PROPOSED USE:
USE THE SPACE PROVIDED TO EVALUATE THE EFFECTS OF SUCH ELEMENTS AS NOISE,
GLARE, ODOR, ETC. ON ADJOINING PROPERTY; A DISCUSSION OF THE GENERAL
COMPATIBILITY WITH ADJACENT PROPERTIES IN THE DISTRICT.
See attached narrative sheet
ATTACH AN ADDITIONAL SHEET IF REQUIRED.
____________________________ ________________________
SIGNATURE OF APPLICANT DATE
FEE: $16.50 DUE BEFORE ISSUANCE CONDITIONAL USE PERMIT
BOARD OF ADJUSTMENTS
APPLICATION FOR CONDITIONAL USE PERMIT PERMIT NO._________
NARRATIVE STATEMENT OF PROPOSED USE - ATTACHMENT SHEET
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NAME OF PROPERTY OWNER (APPLICANT):________________________________________
ADDRESS:_____________________________________PHONE: _______________________
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PROPERTY FOR WHICH PERMIT SOUGHT:
SIZE:____________________________________________________AREA: See attached
(ATTACH PLAT OR LEGAL DESCRIPTION OF PROPERTY)
ZONING CLASSIFICATION:_______________ ADDRESS:______________________________
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DESCRIPTION OF PROPOSED USE (APPLICANT TO FILL OUT):
____________________________________________________________________________
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PROCEDURE PER ORDINANCE (OFFICIAL TO FILL OUT):
____________________________________________________________________________
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Note that once the applicant has completed the above information on the
narrative sheet and the application form the applicant can drop the
application off at Carrollton City Hall on 750 Clay Street to the BOA
administrator.
CONDITIONAL USE PERMIT PAGE1 OF 2
CARROLLTON BOARD OF ADJUSTMENTS
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