BZA Applications Procedures - City of Martinsville, Indiana

Docket Number

Date of Filling

Applicant

First Last

Address of Applicant:

Street Address Address Line 2 City State ZIP Code

Phone

Email*

Is Applicant the Landowner or owner's attorney?

Yes
No

If no, written authorization of landowner is required before proceeding.

Request for

Land Use Variance
Development Standards Variance
Special Exception
Appeals

Specify request

(i.e: change in front of building line from ?? feet to ?? feet; change in land use to allow for use as a ?????; a special exception for the purpose of ?????). Also, include any written commitments or restrictions that you believe are needed or desired. If additional space is needed, commitments or restriction can be attached as an exhibit to this application:

Attached File

Max. file size: 128 MB.

if applicable

Legal Description

Address of Property

Street Address Address Line 2 City State ZIP Code

Total Area Affected

Current Zoning Classification