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G:\Data\DBases\Forms\Gen\Word\ZBA App.doc (revised 1/2/2012) ZONING BOARD OF APPEALS APPLICATION CITY OF MIDDLETON 7426 HUBBARD AVE. MIDDLETON, WI. 53562 (608) 821-8370 FAX (608) 827- 1080 The following must be submitted before an application is considered complete and a meeting is scheduled: 1. Zoning Board of Appeals application (this packet). 2. A statement that deals with the purpose of the application and grounds for appeal: If you are requesting a variance, the statement must explain: the variance requested, what special conditions exist which will cause practical difficulty or unnecessary hardship if the variance requested is not granted, why the variance being requested is not contradictory to the public interest and will not endanger public safety and welfare, and why the variance requested will be in accord with the spirit of the zoning ordinance. If you are requesting an interpretation of the zoning ordinance and reversal of an order, requirement, decision or determination of an administrative officer, the statement must include the date the decision being appealed was made and the reasons why it may be erroneous. 3. A scale map showing the location and size of the property, existing improvements, abutting properties and improvements and the requested change or addition. Photos are highly recommended. 4. The $300 (nonrefundable) application fee. Address of Property: Present Use of Property: Name of Appellant or Applicant: Address of Appellant or Applicant: Phone: Fax: Email: Owner’s Name and Address (if other than above): Has a previous application been made with respect to this property? If “yes,” state the nature of the previous application: Disposition of Previous Case: Date of Decision in Previous Case: I hereby swear that all of the above statements and the information contained in the documents submitted herewith are true to the best of my knowledge and belief: Owner Signature: Applicant Signature: Staff Contact: Mark Opitz Please Note: • The Zoning Board of Appeals meets as needed in City Hall, 7426 Hubbard Avenue. • Appellant will receive notice of the time and date for the hearing. The public hearing notice will be published in the Middleton Times-Tribune and mailed to all property owners within 200 feet of the subject property. • Appellant must appear at the time and date set for the hearing to explain the need for the appeal. • Allow 4 to 5 weeks for notices to be mailed and a hearing date to be set. Assistant Planning Director Zoning Administrator (608) 821-8394 Email: [EMAIL REDACTED] Fax: (608) 827-1080 Date: ---PAGE BREAK--- G:\Data\DBases\Forms\Gen\Word\ZBA App.doc (revised 1/2/2012) For Staff Use Only: Zoning of Property: Code Section: Notice of Hearing Published: Notice of Hearing Mailed: Hearing Date: Fee Paid ($300): Zoning Board of Appeals Findings: Approved: Denied: Subject to: Date Received: