PETITION FOR VARIANCE. Village Hall Glen Carbon, IL (Do not write in this space-for Office Use Only) Notice Published On: Parcel I.D. No.

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(Execute in Duplicate) PETITION FOR VARIANCE Zoning Board of Appeals Village Hall Glen Carbon, IL 62034 Variance Request No. Date:, 20 (Do not write in this space-for Office Use Only) Date Set for Hearing: Date Hearing Held: Notice Published On: Newspaper: Fee Paid to Village Clerk: $ Date Building Permit No. Parcel I.D. No. Action by Zoning Board of Appeals: ( ) Denied ( ) Approved ( ) Approved with modification by Board Instructions to Applicants: The purpose of a variance is to provide relief to a property owner when the strict enforcement of the zoning regulations pertaining to lot size, setback, parking requirements, etc., impose an undue hardship on him or deny him the reasonable use of his land. For example, a lot which has a deep gully running across the back of it could make it difficult to build a house which meets the front yard setback requirements. Hardship to the applicant is the crucial test. Hardship not of the applicants own making. Variations will be granted only to provide relief in unusual situations which were not intended or foreseen when the zoning ordinance was adopted. Economic loss is seldom a unique situation and is generally not considered a valid hardship. 1) This application for a Variance must be complete. 2) All requests for Variance must include a site plan with the application showing the information listed in item 24 paragraphs a),b),c),d) (an Air Photo Overlay from Madison County Maps and Plats for the subject property), & e). 3) A development schedule providing reasonable guarantees for the completion of construction must be provided. 4) Names and Addresses of all property owners adjacent to the subject property boundaries, excluding all rights-of-ways must be provided.

All information requested on this application must be provided before a hearing will be scheduled for the next regularly scheduled Zoning Board of Appeals meeting. A notice of the hearing will be published in a newspaper of general circulation in the local area at least 15 days before the hearing and the applicant/owner will be notified by mail of the time and place of the hearing at least 15 days prior to the hearing date. The applicant or his attorney or duly authorized agent must appear at the hearing and present this case to the Zoning Board of Appeals or the case will not be heard and fees forfeited. The applicant should be able to show, by the attached site plan and documentary evidence, that the proposed variance will be in harmony with the general purpose and intent of the zoning ordinance and will not be injurious to the neighborhood or otherwise detrimental to the public welfare. The burden of providing substantiating evidence rests with the applicant. Applicants are encouraged to contact the Office of the Zoning Administrator should they have any questions concerning this application. 2

1. Name of Owner or Owners: (Attach Additional Sheets if Necessary) Address: Phone: 2. Applicant s Name: Address: Phone: 3. Property Interest of Applicant: (Owner, Contract Purchaser, etc.) 4. With respect to any portion of these premises was a previous appeal or petition for variance ever made: ( ) No ( ) Yes? If Yes, list all previous appeals, and/or petitions, giving dates: 5. Address of Property: 6. Location of Property: Legal Description (Lot, block, and subdivision or metes and bounds): 7. Present Use of Property: 8. Present Zoning of Property: 9. Does the present use of the property conform to all use regulations for the zoning district in which it is located? Yes ( ) No ( ) If No, specify each non-conforming use: 10. What hardship prevents your property from being used for any of the uses permitted in the existing zoning district? 11. Do the conditions of hardship for which you request a variance apply only to your property? ( ) Yes ( ) No If No, how many other properties are similarly affected? 12. Will the granting of a variance in the form requested be in harmony with the neighborhood and not contrary to the intent and purpose of the Zoning Ordinance? Explain: 13. If applicable, how many signs are desired? State size of each and indicate placement on the attached site plan. 14. If applicable, how many off-street parking spaces will be provided? 3

15. Are public water and sewer to be used? ( ) Yes ( ) No, If No, explain what systems will be employed: 16. If use is not compatible with adjacent properties, what buffers will be used? (Landscaping, fencing, etc.) 17. If present structures will be used, what improvements will be made? 18. Do the existing structures comply with all area and bulk regulations for the zoning district in which they are located? ( ) Yes ( ) No, If No, specify each nonconforming condition: 19. Which unique physical characteristics prevent reasonable use for any of the uses permitted in that zoning district? ( ) Too narrow ( ) Topography ( ) Soil ( ) Too small ( ) Drainage ( ) Sub-surface ( ) Too shallow ( ) Shape ( ) Other 20. What is the minimum modification (variance) from the area-bulk regulations that will permit you to make reasonable use of your land? ( Specify, using, maps, site plans with dimensions, and written explanation. Attach additional sheets if necessary). 21. Are the conditions of hardship for which you request a variance peculiar only to the property described by this petition? ( ) Yes ( ) No If No, how many other properties are similarly affected? 22. Is the area/bulk variance requested for the property described above in conformity with the documents submitted herewith? ( ) Yes ( ) No 23. Names of adjacent property owners: Following are the names of owners of all property adjacent to the subject property, including those directly across the street, and present use of their property: (Use additional sheets if necessary) 4

24. The Site Plan attached shall be drawn in a scale large enough for clarity to reflect all of the following (shall not exceed 11 x 17 drawing or 20 copies shall be provided by applicant): a) Location and dimension of: 1) Lot (Corner Lot shall be identified) 2) Buildings 3) Driveways 4) All off-street parking spaces b) Distance between: 1) Buildings and front, side and rear property lines 2) Principal building and accessory buildings c) Location of: 1) Signs 2) Easements 3) Underground utilities 4) Septic tanks/tile fields 5) Water wells 6) Other pertinent information d) An Air Photo Overlay available at Madison County Maps and Plats for the subject property shall be furnished by the petitioner. e) Any additional information as may reasonably be required by the Zoning Administrator and applicable sections of the Zoning Ordinance. 25. I have completed the summary of property owners from the attached computer listing of the most recent tax records available from the Madison County Maps and Plats office, 1) of the subject property, and 2) Names and Addresses of all property owners within 250 feet of the subject property boundaries, excluding adjacent right-of-ways. 26. I certify that all of the above statements and the statements contained in any papers or plans submitted herewith are true and accurate. I consent to the entry in or upon the premises described in this application by any authorized official of the Village of Glen Carbon, Illinois for the purpose of inspecting or posting, maintaining and removing such notices as may be required by law. Applicant(s) Date Owner(s) Date 5