Applications must include all required information, such as drawings, site plans, floor plans and/or photographs to completely describe the request.

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City Hall: 301 E. Huron St. Ann Arbor, MI 48104-6120 Mailing: P.O. Box 8647, Ann Arbor, MI 48107-8647 Phone: 734.794.6265 Fax: 734.994.8460 APPLICATION MUST BE FILLED OUT COMPLETELY NOTICE TO ALL APPLICANTS: A pre-filing meeting is required for all applicants. Contact Jon Barrett, Zoning Coordinator (734-794-6000 ext. 42654) or the Planning & Development Services unit to arrange a meeting. Bring any available materials, including a draft application, drawings, plans, etc. for discussion. All applications must be signed. Applications must include all required information, such as drawings, site plans, floor plans and/or photographs to completely describe the request. If an application is submitted by someone other than the property owner, a letter of authority must be provided from the property owner. This letter will give the applicant permission to appear BEFORE the Zoning Board of Appeals (ZBA) with the specific request. The ZBA meets on the fourth (4 th ) Wednesday of each month. Public notices for each request before the ZBA are published at least fifteen (15) days prior to the meeting, in accordance with State law. Applications must be received at least 4 weeks prior to the meeting date. All applications will be reviewed by staff. INCOMPLETE applications will not be accepted. Applications with incorrect or inadequate information will be returned to the applicant for corrections and will be scheduled for the next available meeting date. Applicants must submit two (2) complete packets of information with all required information and materials, with letters of authority or one (1) original complete application packet and one (1) electronic copy of the original complete packet with all supporting materials on CD (Abode pdf format preferred). All communication with ZBA members must be through the application and at public meetings ONLY. Solicitation of members on an individual basis outside of these venues is inappropriate and prohibited. Application to the ZBA does not guarantee the request will be scheduled, nor is the application any indication of ZBA action.

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Office Use Only Fee Paid: ZBA: City Hall: 301 E. Huron St. Ann Arbor, MI 48104-6120 DATE STAMP Mailing: P.O. Box 8647, Ann Arbor, MI 48107-8647 Phone: 734.794.6265 Fax: 734.994.8460 APPLICATION MUST BE FILLED OUT COMPLETELY PROPERTY INFORMATION ADDRESS OF PROPERTY: ZONING CLASSIFICATION: TAX ID: (if known) NAME OF PROPERTY OWNER*: *If different than applicant, a letter of authorization from the property owner must be provided APPLICANT INFORMATION NAME OF APPLICANT: ADDRESS OF APPLICANT: DAYTIME PHONE NUMBER: FAX NO: EMAIL: APPLICANT S RELATIONSHIP TO PROPERTY: REQUEST INFORMATION VARIANCE REQUEST (Complete the section 1 below) ALTERATION TO A NON-CONFORMING STRUCTURE (skip to Section 2) Section 1 - VARIANCE REQUEST CHAPTER(S) AND SECTION(S) FROM WHICH A VARIANCE IS REQUESTED: (Example: Chapter 55, Section 5:26) Required Dimension: (Example: 40 front setback) PROPOSED Dimension: (Example: 32 ) Give a detailed description of the work you are proposing and why it will require a variance (Attach additional sheets if necessary) Version 1 08/2017 Page 3 of 6

City Hall: 301 E. Huron St. Ann Arbor, MI 48104-6120 Phone: 734.794.6265 Mailing: P.O. Box 8647, Ann Arbor, MI 48107-8647 Fax: 734.994.8460 Section 1 - VARIANCE REQUEST con t The City of Ann Arbor Zoning Board of Appeals has the powers granted by State law and City Code Chapter 55, Section 5:98. A variance may be granted by the Zoning Board of Appeals only in cases involving practical difficulties or unnecessary hardships when ALL of the following is found TRUE. Please provide a complete response to each item below. These responses, together with the required materials in Section 5 of this application, will form the basis for evaluation of the request by staff and the Zoning Board of Appeals. 1. That the alleged hardships or practical difficulties, or both, are exceptional and peculiar to the property of the person requesting the variance, and result from conditions which do not exist generally throughout the city. 2. That the alleged hardships are practical difficulties, or both, which will result from a failure to grant the variance, include substantially more than mere inconvenience, inability to attain a higher financial return, or both. 3. That allowing the variance will result in substantial justice being done, considering the public benefits intended to be secured by this chapter, the individual hardships that will be suffered by a failure of the board to grant a variance, and the rights of others whose property would be affected by the allowance of the variance. 4. That the conditions and circumstances on which the variance request is based shall not be a self-imposed hardship or practical difficulty. 5. A variance approved shall be the minimum variance that will make possible a reasonable use of the land or structure. Version 1 08/2017 Page 4 of 6

City Hall: 301 E. Huron St. Ann Arbor, MI 48104-6120 Phone: 734.794.6265 Mailing: P.O. Box 8647, Ann Arbor, MI 48107-8647 Fax: 734.994.8460 Section 2 ALTERATION TO A NON-CONFORMING STRUCTURE Current Use of the Property: The proposed change is allowed in accordance with Structure Non-Conformance, Section 5:87 (1) (a) & (b), which reads as follows: (1) A non-conforming structure may be maintained or restored, but no alteration shall be made to a nonconforming structure unless one of the following conditions is met: a. The alteration is approved by the Zoning Board of Appeals upon finding that it complies as nearly as practicable with the requirements of this Chapter and that it will not have a detrimental effect on neighboring property. b. The alteration conforms to all the requirements of this Chapter and is made to a building which will be a single-family dwelling on completion of the alteration and is located in an R1, R2, R3, or R4 district. c. The structure is considered non-conforming due to the following reasons. REQUIREMENT EXISTING CONDITION CODE REQUIREMENT Lot Area Lot Width Floor Area Ratio Open Space Ratio Setbacks Parking Landscaping Other Describe the proposed alterations and state why you are requesting this approval: The alteration complies as nearly as is practicable with the requirements of the Chapter and will not have a detrimental effect on neighboring property for the following reasons: Version 1 08/2017 Page 5 of 6

City Hall: 301 E. Huron St. Ann Arbor, MI 48104-6120 Phone: 734.794.6265 Mailing: P.O. Box 8647, Ann Arbor, MI 48107-8647 Fax: 734.994.8460 Section 2 ALTERATION TO A NON-CONFORMING STRUCTURE Wherefore, Petitioner requests that permission be granted from the above named Chapter and Section of the Ann Arbor City Code in order to permit: REQUIRED MATERIALS The following materials are required for ALL variance requests. Failure to provide these materials will result in an incomplete application and will delay staff review and Zoning Board of Appeals consideration of the request. The materials listed below must accompany the application and constitute an inseparable part of the application. All materials must be provided on 8 ½ by 11 sheets: One (1) hardcopy and one (1) electronic copy shall be submitted. The electronic copy shall include all associated supporting documentation with application submission. Survey of the property including all existing and proposed structures, dimensions of property, and area of property. Building floor plans showing interior rooms, including dimensions. Photographs of the property and any existing buildings involved in the request. Any other graphic or written materials that support the request. ACKNOWLEDGEMENT I, the applicant, hereby request a variance from the above named Chapter (s) and Section (s) of the Ann Arbor City Code for the stated reasons, in accordance with the materials attached hereto. Phone number: Signature: X Email address: Print Name: I, applicant, hereby depose and say that all the aforementioned statements, and the statements contained in the materials submitted herewith, as true and correct. Signature Further, I hereby give the City of Ann Arbor Planning and Development Services unit staff and members of the Zoning Board of Appeals permission to access the subject property for the purpose of reviewing my variance request. Signature Version 1 08/2017 Page 6 of 6