Zoning DepartmentApplication for Conditional Use

Fill in the form on screen, then choose Print / Save PDF to print it or save a copy. Sign the printed copy and return it with the fee to Circleville Township, P.O. Box 121, Circleville, OH 43113. Questions? Zoning Inspector Jeffrey George, 614-402-7819 or circlevilletwp@gmail.com.

BZA Application
Circleville Township
Pickaway County, OH
05/2023

Appeals Case#
Date Filed:
Fee Paid:

APPLICATION FOR CONDITIONAL USEBOARD OF ZONING APPEALS

"Conditional use" means an uncommon or infrequent use which may be permitted in specific zoning districts subject to compliance with certain standards, explicit conditions, and the granting of a conditional use permit as specified in Article IX of this Resolution.

NOTE: This application must be accompanied by a required payment in the amount of $450.00 payable to Circleville Township, for the purpose of defraying the expenses of board member review, public notices in newspaper, clerical and stenographic services. If approved, additional fees will be applicable per Circleville Township Board of Trustees.

The following items are required as part of this application

  1. A current plat and legal description of the property signed by an Ohio Registered Surveyor
  2. Parcel number(s) and list of owners and their current mailing addresses of property within 200 feet and continuous to and directly across the street from such area proposed to be considered for this conditional use. Such lists to be in accordance with the Pickaway County Auditor's current tax list.
  3. Ten (10) copies of the application and plot plan drawn to scale showing:
    1. Shape and dimensions of the lot or parcel with front, rear, and side yard dimensions shown.
    2. Exact size, location, and dimensions of existing or proposed structure(s) or of proposed alteration, if any.
    3. Traffic access and parking
    4. Written evidence of compliance with EPA and Health Department regarding sanitary sewer requirements if applicable.
    5. Proposed use of all parts of the lot or parcel, and structures, including accessways, walks, off-street parking, loading spaces, as well as landscaping. Drawings and dimensions of any signs to be erected.
    6. Any additional information as required by the Zoning Inspector.
    7. The relationship of the proposed development to the Development Standards.
    8. The use of land and location of structures on adjacent property.
    9. Notarized statement granting permission from land owner, if applicant leases specified property.
Applicant Signature (sign by hand on the printed form)

Incomplete applications will not be processed

(OVER)

For Office Use Only

Date of HearingDate of Decision

Vote:

  • Paul Flory
  • Mindi Brown
  • Rich Elsea
  • Randall Winter
  • Shane Thompson
  • Krista Bower - Alternate
  • Anthony Russell – Alternate

Recommendation: ApprovedDeniedAbsentAbstain

Conditions:
Signature of Board Member and Title

Please refer to application package.