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CITY OF RIVERDALE, IOWA
Board of Adjustment Variance Request Form
SECTION 1: GENERAL INFORMATION
Date Submitted:
Property Address:
Name of Applicant:
Date of purchase of property:
Zoning type (e.g. R1, C2, etc.):
Is the property located in a flood zone?
☐ Yes☐ No
Is the property on the National Registry of Historic Places?
☐ Yes☐ No
Are the site plans for the property attached? (required)
☐ Yes☐ No
SECTION 2: AUTHORITY & PROCESS
The City of Riverdale Board of Adjustment is governed by the City Code of Riverdale. A copy of the City Codes and Ordinances can be found at www.riverdaleia.org in the Ordinances section.
The process for requesting a zoning variance is governed by the Ordinances of the City of Riverdale.
SECTION 3: REQUESTED VARIANCE CRITERIA
State the basis for the variance request using Zoning Ordinance §123.04.01 through §123.04.06.
If you need additional space, please attach additional pages.
SECTION 4: DISCLAIMER & CERTIFICATION
Approval or denial of a request for variance is based on the detailed information provided. If the Board of Adjustment approves the request for a variance, it is the applicant's responsibility
to proceed based on the information provided to the Board of Adjustment. Any deviation from the plans as presented can result in the request for variance being overturned, fines sanctioned,
or both. No changes are allowed after the Board of Adjustment has acted on this request for variance.
I, the undersigned, do hereby certify that the above information is true and correct to the best of my knowledge and that I have read, understand, and agree to comply with the conditions
as stated above.
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Applicant SignatureDate
SECTION 5: BOARD OF ADJUSTMENT USE ONLY
Does the application meet the specific criteria for a variance (as indicated in this application)? If no, attach a narrative summary outlining how the application does not meet the specific
criteria selected for a variance.
☐ Yes☐ No*
Will the variance impair adequate supply of light or air to adjacent properties?
☐ Yes☐ No
Will the variance unreasonably increase congestion in public streets?
☐ Yes☐ No
Will the variance increase the danger of fire or endanger the public's safety?
☐ Yes☐ No
Will the variance unreasonably diminish or impair established property values within the surrounding area?
☐ Yes☐ No
Will the variance in any other respect impair the public health, safety, comfort, or welfare of the inhabitants of the City of Riverdale?
☐ Yes☐ No
Board of Adjustment Vote:
Chair:☐ Approve request☐ Deny request
Vice Chair:☐ Approve request☐ Deny request
Member:☐ Approve request☐ Deny request
Member:☐ Approve request☐ Deny request
Member:☐ Approve request☐ Deny request
Board of Adjustment Determination:
☐ Request approved
☐ Request denied
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City of Riverdale, Iowa
110 Manor Drive, Riverdale, Iowa 52722 (563) 355-2511 www.riverdaleia.org