HomeMy WebLinkAboutLetter - 09/04/2001
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Return to:
Inspection Services
215 Church Ave, PO Box 1130
Oshkosh, WI 54902-1130
CITY OF OSHKOSH
APPLICATION FOR BUILDING VARIANCE
Please write legibly with black ink and also submit !!Lrequired information for the variance. There is a $25.00 fee for each variance
application. The fee is payable to the City of Oshkosh and due at the time the application is submitted.
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Name:
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Address:
Type of Building:
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Name of Company:
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Home Telephone #:
Building Address:
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Address of Company:
Telephone #:
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Work Telephone #:
Contact Person:
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In order to be granted a variance, each applicant must be able to prove that an unnecessary hardship would be created if the variance is
not granted. The burden of proving an unnecessary hardship rests upon the applicant. The attached sheet provides information on
what constitutes a hardship. (Attach additional sheets, if necessary, to provide the information requested. Additional information may
be requested as needed.)
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State the code section being petitioned AND the specific condition or issue you are requesting be covered under this petition for
variance.
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2. Explain the reason why compliance with the code cannot be attained without the variance.
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3. State your proposed means and rationale of providing equivalent degree ofhealLh, safety, or welfare as addressed by the code
section petitioned. ,
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\'y" mer (i"--, anrl r{C\( f', rnc~ rli::Ad\I't~; ri 6) + PC' +.
4. List all attachments to be considered as part of the petitioners statements (Le. model code sections, test reports, research articles,
expert opinions, previously approved variances, pictures, plans, sketches, etc.).
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NOTE: The petitioner must be the owner of the building or project. Tenants, agents, designers, contractors, attorneys, etc., shaIl not
sign ;~~~d with the Petition for Variance Application.
, Petitioner's Name (Signature)
I state as petitioner that I have read the foregoing petition and I believe it is true and that I have significant ownership rights to the
subject building or project.
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-2001 - App - 14
I Project Location
I Owner's Name
S8D-9890 (R.01/98)
I Plan Number
Fire Department Position Statement
To be completed for variances requested from ILHR 50-64, ILHR 69, ILHR 10, and other fire relc
requirements.
I have read the application for variance and recommend: (check appropriate box)
Approval Conditional Approval Denial No Comment
Explanation for recommendation including any conflicts with local rules and regulations and
../ suggested conditions:
Page 2 of
Fire Department Name and Address
Name of Fire Chief or Designee (type or print)
Telephone Number
Signature of Fire Chief or Designee
Date Signed
MUNICIPAL BUILDING INSPECTION RECOMMENDATION
To be completed for variances requested from ILHR 20-23. Also to be used if ILHR 50-64 pic
review is by municipality or orders are written on the building under construction; optional in ot!
cases.
I have read the recommend: (check appropriate box)
Approval Denial No Comment
Explanation for recommen . n including any conflicts . ocal rules and regulations and suggested conditions:
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2. JZ..mg,'je SM,c)ke. de..hJ,~v.. 0""- {,oJ-h. srde.s of U,'S: fr-~'edt'Ok. ~c-~.f-.e.
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Municipality Exercising urisdiction
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