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ZONING VARIANCE APPLICATION BOARD OF ZONING ADJUSTMENT Project Information Owner/Applicant Information Project Name Name of Owner Street Address Project Address Name of Applicant (if different) Street Address City State Zip City State Zip E-Mail Address Phone Number E-Mail Address Phone Number Applicant Status Owner Tenant Agent Other Development Information Code Enforcement FOR OFFICE USE ONLY Current use of subject property (circle one): Residential: single-family duplex multi-family Office : general medical or dental Commercial/Industrial: specify Other: Vacant Is this application the result of Code Enforcement Action? Yes No FOR OFFICE USE ONLY Pre-Application Conference Date Project Description: Zoning District Date Accepted By (Person taking in Application) BZA Case # Page 1 of 2 Revised Dec. 2011 Page 1 of 6

TYPE OF VARIANCE REQUEST PRINCIPAL STRUCTURE IN-LINE ADDITION REQUIRED PROPOSED Front Yard Setback Feet Feet Rear Yard Setback Feet Feet Side Yard Setback Feet Feet Street Side Yard Setback Feet Feet Height Feet Feet ACCESSORY STRUCTURE VEHICULAR USE AREAS Front Yard Setback Feet Feet Rear Yard Setback Feet Feet Side Yard Setback Feet Feet Street Side Yard Setback Feet Feet Rear Windows on 2nd Story Number of Parking Spaces Location of Parking Spaces Dimension of Parking Spaces Feet Feet Driving Aisle Width Feet Feet Width of Landscape Area Feet Feet Number of Tree Points Number of Shrubs BUFFER YARDS SIGNS Width of Landscape Area Feet Feet Number of Tree Points Number of Shrubs Solid Fence, Wall or Hedge Sign Height Feet Feet Sign Area Feet Feet Sign Setback Feet Feet FENCE/WALL HEIGHT Front Yard Feet Feet Street Side Yard Feet Feet Rear Yard Feet Feet Side Yard Feet Feet AIR CONDITIONING UNIT REVERT TO ORIGINAL PLAT OTHER Rear Yard Setback Feet Feet Side Yard Setback Feet Feet Street Side Yard Setback Prohibited Feet Front Yard Setback Prohibited Feet Required Lot Width Required Proposed Lot Square Footage Required Proposed Other Page 2 of 6

VARIANCE JUSTIFICATION Section 65.383 of the Land Development Code (LDC) states that no application for a Zoning Variance shall be approved unless the Board of Zoning Adjustment (BZA) finds that all of the following standards are met. The applicant is responsible for proving to the BZA s satisfaction that the variance request meets these standards. Next to the description of each standard for variance approval is a question printed in bold type. Please answer each question on a separate sheet of paper that is typed. SPECIAL CONDITIONS AND/OR CIRCUMSTANCES The applicant must prove that special conditions and/or circumstances exist whichare peculiar to the land structure or building involved and which are not applicable to other lands, structures or buildings in the same zoning district. Zoning violations or non-conformities on neighboring properties shall not constitute grounds for approval of any proposed zoning variance. WHAT ARE THE SPECIAL CONDITIONS AND CIRCUMSTANCES UNIQUE TO YOUR PROPERTY? NOT SELF CREATED The applicant must prove that the special conditions and circumstances do not result from the actions of the applicant. A self created hardship shall not justify a variance; i.e. when the applicant himself by his own conduct creates the hardship he alleges to exist, he is not entitled to relief. HOW WERE THE SPECIAL CONDITIONS NOTED ABOVE CREATED? MINIMUM POSSIBLE VARIANCE The applicant must prove that the zoning Variance is the minimum variance that will make possible the reasonable use of the land, building or structure. CAN YOU ACCOMPLISH YOUR OBJECTIVE IN ANOTHER WAY? LIST ALTERNATIVES YOU HAVE CONSIDERED AND EVIDENCE AS TO WHY THEY ARE NOT FEASIBLE. Page 3 of 6

NO SPECIAL PRIVILEGE CONFERRED The applicant must prove that approval of the zoning variance requested will not confer on the applicant any special privilege that is denied by this Chapter to other lands, buildings, or structures in the same zoning district. WOULD APPROVAL OF THIS VARIANCE ALLOW YOU TO DO SOMETHING THAT OTHER PROPERTY OWNERS IN THE SAME SITUATION WOULD NOT BE ALLOWED TO DO? DEPRIVATON OF RIGHTS The applicant must prove that literal Interpretation of the provisions contained in this Chapter would deprive the applicant of rights commonly enjoyed by other properties In the same zoning district under the terms of this Chapter and would work unnecessary and undue hardship on the applicant. Financial loss or business competition or purchase of property with intent to develop In violation of the restrictions of the Chapter shall not constitute grounds for approval. WOULD DENIAL OF THIS VARIANCE DEPRIVE YOU OF RIGHTS COMMONLY ENJOYED BY OTHER PROPERTY OWNERS IN SIMILAR SITUATIONS? PURPOSE AND INTENT The applicant must prove that approval of the zoning variance will be in harmony with the purpose and intent of this Chapter and such zoning variance will not be injurious to the neighborhood and otherwise detrimental to public welfare. WHAT EF- FECTS WILL APPROVAL OF THE VARIANCE HAVE ON ADJACENT PROPERTIES OR THE SURROUNDING NEIGHBORHOOD? (FOR EXAMPLE: ADEQUATE LIGHT, AIR, ACCESS, USE OF ADJACENT PROPERTY, DENSITY, COMPATIBILITY WITH SURROUNDING LAND USES, TRAFFIC CONTROL, PEDESTRIAN SAFETY, ETC) Page 4 of 6

GENERAL SUBMITTAL REQUIREMENTS APPLICATION FEE APPLICATION FORM Applications shall not be deemed complete unless items required in the first column below are submitted with the application, unless specifically waived by a City Planner at a pre-application conference. The applicant shall verify that the required submittals have been provided by placing a checkmark on the appropriate line of that last column below. If an item has not been submitted as required, the applicant shall attach a written statement explaining why the item was omitted. If the Land Development Division determines that the justification is not acceptable, the application shall be deemed incomplete and may be delayed until the next posted deadline. Additional information may be required by the City at the pre-application conference and/or after the initial review of the request. Additional information may include documents initially waived at the pre-application meeting if they are determined necessary during the review of the request. WAIVER The application fee is a user fee intended to partially off-set the administrative and direct costs (e.g. advertising, materials, and supplies) of processing an individual application. This fee is established by City Council. The application fee does not in any way ensure the applicant of a favorable decision. All applications will be reviewed on the merits of the request alone, regardless of the application fee. The application fee is non-refundable unless the application is withdrawn within five (5) business days of submittal. A request for withdrawal must be received in writing by the Recording Secretary by 5:00 p.m. on the withdrawal deadline. Reschedule Board Hearing: $250 (after applicantinitiated deferral within 10 days of the Board hearing) Original + 4 Copies Complete, sign and submit this application form. REQUIRED *Owneroccupied single family residence $250 $10 - Each additional *All other applications $500 $100 - Each additional APPROVED SUBMITED OWNERSHIP AFFIDAVIT Original Required for all applications, regardless of applicant s relationship to property owner. Fill in all blanks and ensure each signature is notarized. YES PLAT OF SURVEY AND LEGAL DESCRIPTION DEVELOPMENT PLAN 4 Copies Submit an accurate, as built survey showing all improvements on the site. The survey must be reproducible. If a photocopy is submitted, the original seal must be visible and the survey must still be to scale. 4 Copies Submit a development plan, dimensioned and drawn to scale showing the proposed improvements and the location and size of the variance requested. The survey may be used as a base. For projects other than one or two family residential units, development plans complying with the requirements for a conditional use development plan shall be submitted. YES YES YES BUILDING ELEVATIONS 4 Copies Submit architectural elevations for all sides of the proposed building or addition. The elevations must be dimensioned and drawn to scale. Page 5 of 6

SUBMITTAL REQUIRMENTS FOR SPECIFIC VARIANCES SIGN VARIANCE LANDSCAPING VARIANCE ADDITIONAL INFORMATION REQUIRED AT PRE-APPLICATION CONFERENCE The following additional information is required for specific types of variances: Four (4) Copies Dimensioned, to-scale drawings of proposed sign(s) and a plan showing the location of existing and proposed signs shall also be provided. For shopping centers, include location and size of signs on all shops within the center. Four (4) Copies Landscape plans dimensioned and drawn to scale to match the development plan. Waiver Required Approved Submitted Yes Yes SUBMITTAL GUIDELINES EVERY APPLICATION MUST COMPLY WITH THE FOLLOWING REQUIREMENTS. PLEASE CHECK THE BOX WHEN COMPLETED. IF THESE REQUIREMENTS ARE NOT MET, THE APPLICATION WILL BE DEEMED INCOMPLETE AND WILL NOT BE AC- CEPTED. I have submitted one 11 x 17 in. reduction for every full-sized original. I have folded all copies larger than 8 1/2 by 14 inches. I have collated all materials into 5 separate packages. CERTIFICATION By my signature below, I acknowledge that I understand and have compiled with all of the submittal requirements and procedures and that this application is a complete application submittal. I certify that the information contained in this application is true and correct to the best of my knowledge at the time of application. I further understand that an incomplete application submittal may cause my application to be deferred to the next posted deadline date. Applicant Signature Date SUBMIT COMPLETED APPLICATION TO: City Planning Division * Economic Development City Hall * 6th Floor * 400 South Orange Avenue Orlando, FL 32802-4990 Telephone (407) 246-3412 * Fax (407) 246-2895 Page 6 of 6