Waiver Form - Timnath, Colorado

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Case#:___-_____-_____
WAIVER
Proj. Name: _________________
(Fee Agreement)
Planning Department
970-224-3211
Applications for a Waiver to Land Use Code requirements are intended to be submitted in conjunction with
another Land Use Application Type. You may use one Land Use Application Form by indicating application
is also made for a Waiver and submitting all appropriate Technical Criteria Forms and documents.
APP.
TOWN
Explanation Letter
Identify the waiver being requested and explain what exceptional condition, practical difficulty, or unnecessary
hardship exists to require the waiver. Also address how the waiver, if granted, will not be detrimental to the
public good, create a conflict with the Town Comprehensive Plan or impair the intent and purpose of the Town
of Timnath Land Use Code.
Other Land Use Application Type and Number Being Submitted
Submit document above with a copy of this form and a completed Land Use Application.
Date Submitted to Town: _____________
Application Certification of Completion
Town must certify application is complete and in compliance with all submittal requirements OR reject it as
incomplete and notify Applicant of any deficiencies. If rejected, Staff must prepare a report identifying any
issues of concern that must be addressed and forward it to the Applicant. All documents requiring a signature
must be signed in
BLUE
INK.
Address Staff Comments (Submit to Town Clerk)
Letter explaining how all of the comments have been addressed ................................................................................ _
_
T
C
C
A
OWN
ERTIFICATION OF
OMPLETED
PPLICATION
Signed:_____________________________
Date:____________________
Town Council Review and Action
The Council may grant the waiver or deny the application based on the review criteria (LUC 16-3-9.G). The
condition of any waiver authorized must be stated in writing in the minutes of the Council with the justifications
set forth.
Decision:_______________________
Date:_______________________
File Location: L:\OFFICE INFORMATION\TEMPLATES\APPLICATIONS\WORD DOCUMENT\WAIVER TECH FORM.DOC
Last Saved: 7/11/2011 6:33 PM
Page: 1 of 1

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