Variance or Special Use Request Form

Address of the property for the proposed variance. *











File upload is limited to 20 MB pdf, doc, docx, xls, xlsx, ppt, pptx, odt, ods, odp, txt, jpg, png.
File upload is limited to 20 MB pdf, doc, docx, xls, xlsx, ppt, pptx, odt, ods, odp, txt, jpg, png.
File upload is limited to 20 MB pdf, doc, docx, xls, xlsx, ppt, pptx, odt, ods, odp, txt, jpg, png.
File upload is limited to 20 MB pdf, doc, docx, xls, xlsx, ppt, pptx, odt, ods, odp, txt, jpg, png.

Pursuant to Iowa Code Chapter 554D, also known as the Uniform Electronic Transactions Act (UETA), the undersigned hereby certifies that the electronic signature affixed to this document is intended to have the same legal effect as a handwritten signature and is legally binding.

This document and the associated electronic signature(s) meet all requirements of Iowa law for enforceability, validity, and authenticity as set forth in Iowa Code § 554D.103 through § 554D.128.

By signing electronically, the signatory agrees to conduct this transaction by electronic means and acknowledges that this signature shall be deemed legally effective under applicable law.

A fee of $100.00 is required for the City to process your form and set a public hearing for your variance or special use request.  You can pay by mail, in-person, or online (click here - select "zoning fee" fee from drop down menu).  Once payment is made you will be contacted by the City Administrator regarding the time and date of the Zoning Board of Adjustment (ZBA) public hearing where your request will be reviewed.  Typically, the ZBA meets the 3rd Tuesday of the month, but it does vary.  To meet notice requirements the City needs a completed form and payment by the end of the month prior to the month of the hearing (to be on the July Agenda the City needs the request and payment by June 30).


* - denotes required field