APPLICATION FOR ADMINISTRATIVE APPEAL
Development Services Department ♦ 389 Spruce Street, Morgantown, WV 26505 Page 1 of 1
www.morgantownwv.gov ♦ 304.284.7431 Form Rev 20180701
OFFICE USE
CASE NO.
Article 1383 “Administrative Appeals” of the City’s Planning & Zoning Code provides that the Board of Zoning
Appeals (BZA) hears and determines appeals from any order, requirement, decision or determination made by an
administrative official, board, or staff member charged with the enforcement of the City’s Zoning Ordinance.
(PLEASE TYPE OR PRINT IN INK) Fee: $300.00 [Z-BA]
I. APPLICANT
Name:
Phone:
Mailing
Address:
Mobile:
Email:
II. AGENT / CONTACT INFORMATION
Name:
Phone:
Mailing
Address:
Mobile:
Email:
Mailings
Send all correspondence to (check one): Applicant OR Agent/Contact
III. PROPERTY
Owner:
Phone:
Mailing
Address:
Mobile:
Email:
IV. ATTEST
I hereby certify that the information I have provided, that all answers to the questions in this request,
and all other supplementary matter attached to and made a part of this administrative appeal request
are honest and true to the best of my knowledge and belief.
Name of Applicant/Agent
Signature of Applicant/Agent
Date
V. Please attach a narrative describing in detail the nature of your administrative appeal.
VI. Please attach a copy of the Zoning Official’s determination which has resulted in your
appeal.
VII. You or a representative MUST be present at the scheduled hearing to present the appeal
and answer questions. Failure to appear at the hearing will result in your appeal being
tabled.
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