91, Addition to family room to exc, ApplicationApplication for a
The undersigned
PLANNING COMMISSION
CITY OF ROLLING HILLS:,
Change of Zoning
Variance,from Zoning Ordinance
Conditional Use Permit
,(LL (Pr K( . ?-{-V-Y c..( i s ,
`Name
Street Address
(;) is/are the owner(s) of
b) has permissionof the owner
c) plaintiff
Legal description. of property situated a
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Street Address
C
ty
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Lot
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Telephone No.
Tract
petitions for A- (-(- H- 12-1>5 t-f-r P MR( f-'10E / 00C P( ICI fF/CC,
I Such change is warranted because (state .reasons) C <TE 1) ciJ b EASF61(61JT
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II Suchchange is based upon the following described exceptional or
extraordinary circumstances or conditions that do not apply gen-
erally to other property or class of use in the same vicinity and
zone. (State Circumstances)
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III Such change is necessary for the preservation and enjoyment of a
substantial property right possessed by other property in the same
vicinity and zone because (state reasons) -r- r-fVr
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IV Such change will not be materially detrimental to the public welfare
or injurious to the property or improvements in such vicinity and
zone where property is located because dJc�
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Plot Plan MUST accompany the application and must show:
a)the location of the (proposed) building on the property; and
bthe area(s) for which the variance is requested; and
c) the outside boundaries showing dimensions and easements.
Applicant or a representative must appear at the hearing.
Applications are considered at the regular meetings of the Planning Commission
which are held the third Tuesday of each month. Applications must be submit-
ted to the Planning Commission Secretary no later than the first Monday of the
month in which the hearing is to be held.
A filing fee of $25.00 must accompany the application; make check payable to
THE CITY OF ROLLING HILLS.
(If additional space is needed, use reverse sideof sheet.
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