Variance Application - Anne Arundel County
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1For Office Use Only
For Office Use Only
CASE # _____________________________
ZONE _________
CRITICAL AREA: IDA ___ LDA ___ RCA____
FEE PAID___________________________
BMA: Yes _____ No ______
DATE ______________________________
NO. OF SIGNS ___________
VARIANCE APPLICATION
NOTE: This form can be downloaded to your computer and filled out utilizing Adobe Reader (or similar product). It can also be printed and filled
out by hand.
Applicant(s):_______________________________________________________________________________________
(Applicant must have a financial, contractual, or proprietary interest in the property)
Property Address: __________________________________________________________________________________
(Enter Street Name )
Property Location: _______ feet of frontage on the (
) side of __________________________________ ;
N, S, E, W
(Enter Street Name )
_________ feet (
) of (Nearest intersecting street) ______________________________________ .
N, S, E, W
)
12-digit Tax Account Number ____________________________ Tax District (
) Counsel District (
______
______
Waterfront Lot: Y
N
Corner Lot: Y
N
Deed Title Reference ______________________
Zoning District _________
Lot # ________ Tax Map __________ Block/Grid ________ Parcel _____________
Area ______________ (
) Subdivision Name ______________________________________________
Sq Ft, or Acres
Description of Proposed Project and Variance Requested (Brief, detail fully in letter of explanation)
__________________________________________________________________________________________________
__________________________________________________________________________________________________
The applicant hereby certifies that he or she has a financial, contractual, or proprietary interest in the property; that he or she is
authorized to make this application; that the information shown on this application is correct; and that he or she will comply with all
applicable regulations of Anne Arundel County, Maryland.
Applicant’s Signature ___________________________ Owner’s Signature ____________________________________
Print Name ___________________________________ Print Name __________________________________________
Mailing Address _______________________________ Mailing Address ______________________________________
City, State, Zip _________________________________ City, State, Zip _______________________________________
Phone ________________________________________ Phone ______________________________________________
(Work)
(Home)
(Work)
(Home)
Cell Phone ____________________________________ Cell Phone ___________________________________________
Email Address _________________________________ Email Address ________________________________________
* * * Below For Office Use Only * * *
Application accepted by Anne Arundel County Office of Planning and Zoning: _______________________________________
Initials
Date
Variance to _________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Rev 06/15/16
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