Variance Form - Timhath, Colorado
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1Case#: VC-_____-_____
VARIANCE
Proj. Name: _________________
(Fee Agreement)
Planning Department
970-224-3211
APP.
TOWN
Application Fee;
CK#: _________________; Amt: $_________________
Signed Fee Agreement;
CK#: _________________; Amt: $_________________
Poudre Fire Authority Development Review Fee of $_____.__
Current Title Commitment
Dated less than 30 days from date of minor subdivision plat application submittal.
Explanation Letter
Identify the variance being requested, cite the portion of the Town Land Use Code from which relief is
requested, and explain why the variance is required. Address how the granted variance would not harm the
public good, create conflict with the Town Comprehensive Plan or impair the Town Municipal Code.
Map
Town Staff will dictate map requirements based on variance requested. Unless otherwise directed by Staff,
provide a scale drawing of the property affected by the variance request with existing and/or proposed setbacks
from adjacent lot lines or structures, and any other information to assist the Board of Adjustment in
understanding the request.
Surrounding and Interested Property Ownership Report
Current list (at most 30 days old) of names and addresses of surrounding property owners (within 300 ft. of the
property), mineral interest owners of record, mineral and oil and gas lessees for the property and appropriate
ditch companies. Certification that report is complete and accurate.
Public Hearing Notification Envelopes
1 set of stamped, addressed, certified (return receipt requested) envelopes. Must have the Town’s address as the
return address and be addressed to all property owners in above report.
Submit documents above with a copy of this form and a completed Land Use Application.
Date Submitted to Town: _____________
T
C
C
A
OWN
ERTIFICATION OF
OMPLETED
PPLICATION
Signed:_____________________________
Date:____________________
Set Public Hearing and Complete Public Notification
Town Clerk must publish notice in a newspaper of general circulation and prepare a public hearing notification
sign to be posted on the property by the Applicant. The hearing may be held no less than 30 days from the date
of advertising and the date of posting the property.
Date of Public Hearing: _______________________
Referral Agency Notification
Town Clerk must send notice of public hearing to the applicant, all property owners of record within 300 ft. of
the property in question, all mineral interest owners of record, oil and gas lessees for the property, and to the
appropriate referral agencies no less than 45 days before the hearing.
Board of Adjustment (BOA) Public Hearing and Action
The BOA will make the decision on variances at a regular meeting of the BOA that includes a Public Hearing.
The decision will be based on variance review criteria (§16-3-9.G.). Variances granted must be recorded with
the Larimer County Clerk and Recorder at the expense of the Applicant.
Decision:_______________________
Date:_______________________
File Location: L:\OFFICE INFORMATION\TEMPLATES\APPLICATIONS\WORD DOCUMENT\VARIANCE TECH FORM.DOC
Last Saved: 7/11/2011 6:32 PM
Page: 1 of 1
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