Zoning Variance
Ford County Planning, Zoning and Environmental Health
100 Gunsmoke
Dodge City, Kansas 67801
Phone: (620) 227-4670
Fax: (620) 227-4717
http://www.fordcounty.net

Owner Information
 Applicant/Agent/Surveyor Information(if Different)
Name:

 Name:
Address:

 Address:
Telephone: Telephone:
Email: Email:
   
1. The applicant hereby requests a Zoning Variance Permit for the property legally described as (metes and bounds descriptions shall be provided below or on an attached sheet):
2. The property is located at (address):
3. I request this Zoning Variance Permit for the following reasons:
4. What is the extent to which removal of the restriction will detrimentally effect nearby properties?
5. What is the hardship imposed upon you and your property if your request is denied?
6. What else do you feel the Zoning Board should know concerning your property and your intended use thereof?
7. I (we), the applicant (s), acknowledge receipt of the instruction sheet explaining this application. I (we) realize that this application cannot be processed unless it is completely filled in, is accompanied by a certified ownership list and the appropriate fee.

8. The applicant herein, or his authorized agent, acknowledges:
                  A. That he has received an instruction sheet concerning the filing and hearing of this matter.
                  B. That he has been advised of the fee requirements established; and that the appropriate fee is
                       herewith tendered.
                  C. Appeals may bring an action in the District Court of Ford County, Kansas, to determine the                        reasonableness of any such order or determination.

 

_________________________________                  ________________________________
Owner                                                                          Date

_________________________________                  ________________________________
Owner/Authorized Agent (if any)                                   Date

FOR OFFICE USE ONLY:
                     This application was received at the office of the Zoning Administrator at _______(AM,PM) on ________day
                     of _____________, 20______.
                     It has been reviewed and found to be complete and accompanied by the required documents and the appropriate
                    fee of ___________.

___________________________________                   ______________________________
Name                                                                                           Title