To: Madeira City Planning Commission Revised January Miami Avenue Madeira, Ohio

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To: Madeira City Planning Commission Revised January 2013 7141 Miami Avenue Madeira, Ohio 45243-2699 ***Disclaimer: All information on this form will become public record.*** CITY OF MADEIRA, OHIO APPLICATION FOR PROPERTY CONSOLIDATION AND/OR LOT SPLITS LESS THAN FIVE (5) LOTS AND VARIANCE REQUEST FROM LOT DIMENSIONS AND/OR SUBDIVISION REGULATIONS NOT CREATING A PANHANDLE LOT * You are encouraged to contact staff to assist you in preparing this application. The Planning Commission reserves the right to delay a decision if it determines that the application does not provide all relevant information. An application for a lot split or consolidation whether residential or commercial, requires an official Public Hearing before the Planning Commission when a variance is requested from Section 150.24 Lot Requirements, and/or Chapter 151, Subdivision Regulations, of the Madeira Zoning Code. Fees: The fee must be paid upon application pursuant to Madeira Zoning Code Chapter 165: Schedule of Fees as follows: Lot splits: All applications for lot splits that consist of less than five lots (minor subdivisions) shall be charged a flat fee of $50 per application and $50 per lot in excess of two lots. Consolidation: There are no fees for consolidation. 1. Applicant Information: A. Name (Please print) B. Mailing Address: (Street) (City) (State) (Zip) C. Phone Number: (Day) (Evening) D. Email Address: 2. Property Owner (if other than applicant): A. Name (Please print) B. Mailing Address: (Street) (City) (State) (Zip) C. Phone Number: (Day) (Evening) D. Email Address:

3. Lot to be split: 4. Lot to be split: Please use separate page if there are additional lots to be split

5. Lot to be consolidated: 6. Lot to be consolidated: Please use separate page if there are additional lots to be consolidated

7. Variance Request: A. Briefly explain what the variance is being requested for. B. Site the specific Section of the Madeira Code that pertains to your variance request (see list below). 8. Past Variances: Madeira Code of Ordinances Reference: Chapter 150: Zoning Code Section 150.24 Lot Requirements Chapter 151: Subdivision Regulations Section 151.100, 101, 102 - Variances Chapter 153: Excavating, Filling and Grading of Land Section 153.26 - Appeal to Planning Commission A. Are you aware of any variances requested or granted on the subject property? (yes) (no) B. If yes, give dates and complete details on a separate page. 9. Are you planning to develop any portion of this property if your request is granted? No Yes

10. Submission requirements (check each box to make sure your submission complies): Boxes Boxes checked checked by staff by applicant A. Everything must be submitted at least 21 days prior to the Planning Commission meeting in order for the application to be placed on the agenda. B. Submit sixteen (16) copies of this application and the materials listed herein. C. All materials must be assembled in separate packets. Please fold rolled drawings. D. Legal descriptions of the existing and proposed lots. E. Separate legal surveys satisfactory to Hamilton County Recorder s office of existing parcel(s) and proposed split(s) showing: 1) Complete Property Line (front, sides, and rear). 2) Street Names. 3) Title, with appropriate scale, and north arrow. 4) Existing and proposed structures and all relevant dimensions as follows: a) Set Back Line: Show dimension from property line to set back line as dashed line on plan. (See Section 150.24 of the Code.) b) Existing structures on subject property. c) Distance from existing structures on subject property to property line. F. Topography, depicting existing and proposed changes. G. Surface Water Drainage: Will the variance result in any change to surface water drainage in either direction or volume? (yes) (no) If yes, explain A determination or evaluation of whether a proposed variance would result in any change in surface water drainage in either direction or volume from the subject site may be required. H. Sanitary Sewer information obtained from the Metropolitan Sewer District. I. Driveways and curb cuts. J. Proposed easements. K. Verification of emergency vehicle access contact Steve Ashbrock, Madeira- Indian Hill Joint Fire District and Chief Frank Maupin, Madeira Police Dept. L. Photos of the site if available. M. Additional information may be requested.

I certify that I have received the attached guidelines and codes and that the information contained in this application and its supplements is true and correct. Signature of Owner: Signature of Owner: Signature of Applicant: Date: Date: Date: A Variance from the Planning Commission does not supersede a deed restriction and/or covenant. As a property owner, you should be aware of any restrictions to your property in the form of deed restrictions and/or covenants. ************************************************************************************************************************ (To be completed by the City of Madeira) SAFETY ISSUES REVIEWED: Police Chief: Objection: No Yes FINDINGS If yes, reason: Fire Chief: Objection: No Yes If yes, reason: City Engineer Review

Date of Hearing: Applicant Name: MADEIRA CITY PLANNING COMMISSION VARIANCE REQUEST WORK SHEET Property located at: Type of Variance Requested: (1) Will the property in question yield a reasonable return or can there be any beneficial use of the property without the variance? (2) Is the variance necessary to preserve a substantial property right (the reasonable enjoyment and use of the property) which is already possessed by the owners of other properties in the same area? (3) Are there exceptional or extraordinary conditions which apply to the subject property that do not apply generally to other properties in the same area?_ (4) Would the essential character of the neighborhood be substantially altered or would adjoining properties suffer a substantial detriment as a result of the variance? (5) Would the variance adversely affect the delivery of governmental services (e.g. water, sewer, garbage)? (6) Were the applicable zoning restrictions in place when the property was purchased or acquired by the applicant? Did the applicant have a reasonable means of determining what zoning restrictions were in effect at the time the property was acquired? (7) Can the property owner s predicament feasibly be obviated through some method other than a variance (such as a zoning change or redesign of the proposed plan)? (8) Can the spirit and intent behind the zoning requirement be observed and substantial justice done if the variance is granted?