Variance Application Form - Drainage Plan Review

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VARIANCE APPLICATION
Drainage Plan Review
PRINT OR TYPE ONLY
05/02
RECEIVED BY:
DATE:
BLDG.PERMIT #__________________
NOTE: A completed Building Permit Application must be on file with Code Administration prior to the
processing of this Plan Review.
THE FOLLOWING DRAINAGE PLANS MUST ACCOMPANY THIS APPLICATION:
Two (2) scaled drawings of the property showing:
(a)
The location of the proposed structure, proposed driveway and existing roads or streets.
(b)
Existing elevations and drainage patterns (conditions).
(c)
All proposed elevations (a finished grading plan) and proposed drainage plans.
(d)
If the drainage is to be diverted from its original path when leaving the property,
sufficient information related to affected adjacent properties must be shown.
It is the responsibility of the applicant not the County to provide a legible and complete drainage plan. Any request
which fails to be accompanied by a concise, accurate plan showing existing and proposed grades will be returned
marked “incomplete.”
* * * * * * * * * *
TO:
CUSTOMER SERVICES & DEVELOPMENT ENGINEERING
VOLUSIA COUNTY, FLORIDA
FROM:
OWNER:_____________________________________________ PHONE:_________________________
CONTRACTOR:______________________________________ PHONE:_________________________
PROPERTY ADDRESS:_________________________________________________________________
PARCEL #_____________________________________ LEGAL DESCRIPTION__________________
_______________________________________________________________________________________
I hereby request that the finished elevation of the bottom or lowest floor of the building at the above
location be built less than the Standard Code as amended requirement of twelve inches (12”) above the
crown of the adjacent roads or streets.
BECAUSE: _______________________________________________________________________________
_________________________________________________________________________________________
BY:_______________________________________________________ DATE:________________________
(Signature) Contractor and/or Owner
* * * * * * * * * *
NOTE: FOLLOWING TO BE COMPLETED ONLY BY STAFF
(A) This request NOT approved because______________________________________________
____________________________________________________________________________________
(B) Conditional Approval granted if__________________________________________________
____________________________________________________________________________________
(C) Request Approved______________________________________________________________
BY:
DATE:
_____________________________________
________________________________________________
DEVELOPMENT ANALYSIS DIVISION

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