City of Washington
Department of Planning and Development
Application for an Administrative Hearing

Page 2: Statement by Appellent

STATEMENT BY APPELLENT:
In the space below, present your interpretation of the ordinance provisions in question and state what reasons you have for believing that your interpretation is the correct one.

In addition, state what facts you are prepared to prove to the Board of Adjustment that should lead the Board to conclude that the decision of the Zoning Enforcement Officer was erroneous.

NOTE: APPLICANTS, AND/OR THEIR AGENTS OR PARTIES OF INTEREST ARE PROHIBITED FROM ANY CONTACT IN RELATION TO THIS MATTER WITH PLANNING BOARD AND CITY COUNCIL MEMBERS PRIOR TO THE PUBLIC HEARING.

I certify that all of the information presented by the undersigned in this application is accurate to the best of my knowledge, information, and belief.

Respectfully submitted, this the _____ day of _______________, 20___.

____________________________________________________
(Signature of Applicant)

Continue to Page 3 of the Administrative Hearing Application
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