VARIANCE APPLICATION CHECKLIST. Requ ired Exhibits

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VARIANCE APPLICATION CHECKLIST Requ ired Exhibits Warranty Deed Owner's Authorization - If the applicant is not the current owner The following information is required and should be indicated on the application itself: Complete Leg al Description Lot Width, Length, Area Variance Section #, Section Requirement & Variance Requested If more than one variance, identify each on application Define reason for Variance request Correct Fees

CITY OF TITUSVILLE, FLORIDA APPUCATION FOR VARIANCE (Chapter 47, Article VII, land Development Regulations) 10 be Completed by the City Clerk Application NO.: Date Received: Received by: Instructions for filing 1. Use a different application for each request dealing with a separate project site. 2. Indude three copies of a plot or site plan, drawn to scale, showing the variance requested. For plans larger than 11- by 1 r include 15 copies. 3. " yoo already have a legal survey of the property, ;ndude one CODY of the survey w;th yoor appl;cal;on. 4. If the application is signed by a person other than the property owner, the owner's authorization fonn must be signed by the owner and attached. Applicant's Name: Telephone # : Addre~: ~~~~~~========================~~~~~~=============== Property Owner's Name: Telephone #: Address: Legal description of property on which variance is requested : Section Township Range _ Dimensions: Width Length Area (acres) Property Address: -------;==,.--:c:--:c===-------------- Current Zoning: Current use of property: Va rlance(s) Requested Section No. Requirement Variance Requested The reason for this request is: ACKNOWLEDGEMENT I am the owner and/or leqal representatwe or the owner of the property described wt-lim IS the sub}ec..t of this ilpptlcntion. A.II answers to the Questions in said application and an $ketches and data attached to cmd mi:ldc a part of this applicatioo are honest and true to the best of my koowiedg@ and ~Ief. ShOuld this application be granted, I uodefstand that any conditioo(s) imposed upon the granting of this request shall be blnding to the owner, his heirs and successors in title to possession of the subject property. I understand that I must attend all appli<:a~e meetings and have been informed of the meeting date(s) and tlme(s). I understand that if I fall to appear at an applicable meenrtg, the appropriate Soard or Commission may either table or deny the request. Board of Adjustment & Appeals date: time: Signature of AppliCant

Variance Justification In answering the questions below, please be as specific as possible. Your answers will help the Board of Adjustments and Appeals and City staff to properly evaluate your variance request. 1. Why are you unable to comply wiui the requirements? What hardship Dr injustice are you daiming? 7.. What i.o; special about your property that would justify treating it differently than most other properties? (Examples of important special conditions include: narrow or odd shaped lot; excessive slope of land; soil or drainage limitations; unusual location of exj~tjng buildings on the lot; etc.) If the special conditions involve an existing building or structure, when was it built and are you the original owner? 3. Is your variance request the minimum change from the requirements that you need to overcome your hardship? Explain your answer. (For example, suppose you are requesting a 5 foot variance to the side yard setback requirement in order to build a single car garage 15 feet wide. Your request wou ~d!!q! be the minimum since a single car garage 11 feet wide would be adeq uate ;md would only require a 1 foot variance.) 4. Explain why approval of your variance request would not likely result in harm to your neighbor's properties or to the general public.

Owner's Authorization For: Variance Application DATE: TO : City of Tltusville Attn: Development Services Department 555 S. Washington Avenue Tltusville, FL 32796-3584 RE: (Address and/or legal DescriptiOn) Please accept this document as authorization for --,====;-- N/lmf 01 AppIlQlnc To apply for a Variance for the property described above. T~ Number State of _ County of Sworn to and subscribed before me this day of _ Form of Identification _.----"----.,,.-:-c- - -- My Commission Expires : Notary Public (Date)

FEE SCHEDULE Appeals from decision of administrative official :I;~*Variances andappeals Advertisement- APPEALS $450 plus advertisement fee $150 each advertisement VARIANCES Single-family, multi-family zoning districts and non-profit organization properties All other zoning districts (commercial, industrial, mixed-use) and any other districtjusp5 not listed above Subsequent items processed at the same time as the first item :«~Vadances and Appeals Advertisement $250 plus advertisement fee** $500 plus advertisement fee* '" $100 per additional request $150 each advertisement... The applicant will be responsible (or all re-advcrlising fees when an applicant deferral is initiated VACATIONS Vacating rights-of-way, streets and alleys "Street Vacations Advertisement Vacating easement JIt~* Easement Vacations Advettisement $890 plus advertisement fee $<100 total for 2 $890 plus advertisement fee $400 total for 2 ANND<ATIONS, CPA's & SSA's Comprehensive Plan Amendment (CPA) Annexation l and/or Land Use Change $1,500 plus $8 per acre plus (Requests may be combined) advertisement fee ***Comprehenslve Plan Amendment Advertisement (display ad! $1,675 total for 2 '~""*Annexation Advertisements (display ad! $1,250 total for 2 Text change per F.5. 166.041 "'Text Change Advettisement (display ad) Small Scale Comprehensive Plan Amendment (SSA) Annexation' and/or Land Use Change (exdusive of those annexations accompanying water service agreements) #:USmall Scale Amendment Advertisement- JltuAnnexation Advertisements (displayadj $700 plus advertisement fee $1,675 total for 2 $1,500 plus $8 per acre plus advertisement fee $400 total for 2 $1,250 total for 2 ZONING/ REZONINGS Zoning/Rezoning (when not accompanied by a CPA) *"'*Zoning/Rezoning Advertlsemenf - $1,500 plus $8 per acre plus $200 advertisement fee CONDmONAL USE PERMITS Conditionill u"q Permit (CUP) ***Conditional Use Permit Advertisemenf. ~1,500 pluc;1:b per ~ r. r@ 1'111.1<:' $175 advertisement fee

Nd:e #2: In the event tnt more thilln 0I'\e amel'ldment to the aty's Comprehensive PI<ln ~ col1sldered In a given suborrllttal, the Oty rese!ves ~ ri9ht to ad)ust the ~rtrslng costs to feflect any eroocmy fe<l lizl!d toy advertising more that Ofle request In a SIngle ad. SUch 3dJvstments win be at the dlscretiofl r:i the Gty Milnager and will be accomplished m the form d a rclund to the applicant after the ikm!rtising cc&s have ~ Incurred. 1'1 the event that a ron l n g/rezon~ ng is processed 11'1 COIlJtIOCtIon with a CJ>A/SSA apphcabon, a My (SO) percent reduction ii'i lhe zol"llng ~ rti:s ~ ng ree will be given. In the tvent tholt it conditional use permit is pr~ In conjunctinn with a zonil'i9frezotiing ajlj)l ~ cation. a fifty (SO) percetlt reduction in the conciltlooat use permit adveruslng fee will be given.

Board of Adjustments & Appeals 2013 Application Deadline and Meeting Schedule Application Deadline BAA Meeting Mon. - December 31, 2012 Wed. - Janua ry 23, 2013 Thurs. - January 31,2013 Wed. - February 27, 2013 Thurs. - February 28, 2013 Wed. March 27, 2013 Fri. - March 29, 2013 Wed. - April 24, 2013 Tues. - April 30, 2013 Wed. - May 22, 2013 Fri. - May 31,2013 Wed. - June 26, 2013 Fri. - June 28, 2013 Wed. - July 24, 2013 Wed. - July 31, 2013 Wed. - August 28, 2013 Fri. - August 31,2013 Wed. - September 25, 2013 Mon. - September 30, 20 13 Wed. - October 23, 20 13 Thurs. - October 31, 2013 'Wed. - November 27, 2013 Tues. - November 26, 2013 'Wed. - December 25, 2013 Tues. - December 31, 2013 Wed. - January 22, 2014 *Meeting dates subject to change/cancellation due to holidays. Filing Instructions "' All applications shall require Development Services Staff review prior to submittal to the City Clerk's Office. All applications shall be submitted to the Development Services Department and officially logged in by 4:00 p.m. on the deadline dates attached. Incomplete applications and applications without appropriate backup information/justification will not be accepted and will not be considered to be officially submitted until the appropriate information is submitted. Meeting dates for incomplete applications will not be set until all required information is submitted. Petitions requiring review from other boards or commissions prior to being fol'v'larded to Board of Adjustments and Appeals (BAA) are not guaranteed placement on the BAA sched ule noted above.