From time to time you may receive a letter denying your application for a building permit or other issue subject to section 12 of the Town Zoning Ordinance. You must first have a written decision from the zoning administrator. Please reference section 12 of the Zoning Ordinance regarding rules and procedures. The Ordinance is available for purchase, for review by appointment with the Clerk, or in the West Bend or Kewaskum Public Library. If you wish to submit an appeal, please use the form below, or contact the Clerk.
Application for a Hearing Before the Board of Appeals
Town of Wayne, Washington County, Wisconsin
The undersigned hereby make application for a hearing before the Board of Appeals of the Town of Wayne in accordance with the Zoning Ordinance of the Town of Wayne.
Name of Applicant
________________________________________________________________________
Address
Legal Description (use one):
a. Lot __________ of block ___________ of _________________________
Subdivision .
b. Certified Survey Map No. _____________________ in section ________
c. Metes and bound description attached
Tax Key Number: _______________________________________
Zoning District Classification: ______________________________________
The specific issue I would like to review at the hearing is (attach additional documents if needed:
Attached is a plat of survey or location sketch drawn to scale which shows:
1. the boundaries and dimensions of the property
2. the location of existing and proposed buildings and their distance from the lot lines
3. the location of driveways and easements
4. the distances to neighboring buildings and their uses
5. the location of the well and septic system and their distances to lot lines and buildings
6. such other information as requested by the Zoning Administrator
Attached id a list of the name and addresses of the owners of all property which is within 500 feet of the property described above.
Enclosed is a check for $200.00 payable to the Town of Wayne.
Date Signature
Date Signature