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Special Exception Permit |
City of Dike Application for Special Exception Permit
Date Received _________________
Name of Applicant __________________________________ Name of Owner, if different __________________________________ Address ___________________________________________ Address __________________________________________________ Telephone Number __________________________________ Telephone Number _________________________________________
General Description of Property _________________________________________________________________________________
Legal Description of Property ___________________________________________________________________________________ ____________________________________________________________________________________________________________
Current Zoning District ____A-1 ____R-1 ____R-2 ____R-3 ____R-4 ____C-1 ____C-2 ____M-1 ____M-2
Existing
Use_________________________________________________________________________________________________
Proposed
Exception _____________________________________________________________________________________
Reason
for Request ___________________________________________________________________________________________
Attached to the application are: List of titleholders and/or contract purchasers within 300' of the exterior boundaries of the above-described property. Site Plan (See Example) Filing Fee (Checks are made payable to “City of Dike”) Pertinent Information
Conditions: See Section 16.06 inserted with this packet.
The nonrefundable fee for having a special exception application considered is $15.00 + the cost of publication. Under no circumstances shall all, or part, of this fee be refunded to applicant. In order to address any questions or issues that may arise during this process, it is strongly suggested that the applicant/owner be present at all meetings during review of this application. Unanswered questions or unresolved issues caused by the absence of the applicant may cause the application to be rejected.
I certify that the information I have provided is complete, accurate, and true to the best of my knowledge. Any intentional falsification or change in the information contained in this application, or to the attached information, shall cause this application to become null and void; and any approved rezoning request revoked.
Applicant Signature ____________________________________ Owner Signature ________________________________________ Date _______________________ Date ________________________
If this application for ordinance amendment (rezoning) is approved by the City Council, the change in the map shall become effective thirty (30) days after final passage by the City Council. This period of time will allow for recording and publication of the ordinance. If this application is denied, the applicant/owner shall wait at least six (6) months before reapplying for reconsideration of this request.
RETURN COMPLETED FORM TO: City of Dike 540 Main Street P. O. Box 160 Dike, IA 50624 If you have any questions, phone: 989-2291 SPECIAL EXCEPTION PROCEDURE
Board of Adjustment (1 month)
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