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2. APPLICATION / REQUEST TO ZONING BOARD OF ADJUSTMENT
4. NOTE: COPY OF DEED(S) SHOWING ALL CURRENT OWNERS OF PROPERTY MUST BE ATTACHED TO THIS APPLICATION.
6. NOTE: ALL OWNERS OF THE PROPERTY MUST SIGN THIS APPLICATION
8. NOTE: ADDITIONAL INFORMATION MAY BE SUPPLIED ON SEPARATE ATTACHED SHEETS IF SPACE PROVIDED IS INADEQUATE
10. OWNER(S):
12. First Name
13. Last Name
15. Address
17. Phone Number
19. APPLICANT (if different from owner):
21. First Name
22. Last Name
24. Address
26. Phone Number
28. PROPERTY (attach copy of Deed(s):
30. Legal description if different than Deed:
32. Street Address:
34. County Tax Parcel No.
36. PRESENT ZONING:
38. Present Zoning District of Property:
40. Present Use of Property: 
42. NOTE: fill in section 1, 2, or 3 as appropriate. Do not fill in more than one of these sections. This application is not acceptable unless all required statements have been made.
44. SECTION 1 APPEAL FROM DECISION OF BUILDING OFFICIAL/INSPECTOR IN REGARD TO ISSUES OF THE ZONING ORDINANCE.
46. Describe the decision of the Building Inspector from which appeal is made:
48. Provision of the Zoning Ordinance and Zoning  District in question:
50. SECTION 2 APPLICATION FOR A SPECIAL EXCEPTION AS ALLOWED BY THE ZONING ORDINANCE.
52. Provision of the Zoning Ordinance allowing a Special Exception in this case:
54. Decision of proposed use showing justification for a Special Exception:
56. Set out the facts and provisions made and present to satisfy subparagraph E of paragraph 3 of Section 701 of Zoning Ordinance:
58. SECTION 3 APPLICATION FOR A VARIANCE AS ALLOWED BY THE ZONING ORDINANCE
60. Provision of the Zoning Ordinance from which a variance is requested:
62. Peculiar or unusual conditions which justify a variance is requested:
64. Set out the facts that demonstrate the answer or responses to subparagraphs A, D and/or F of paragraph 4 of Section 701 of Zoning Ordinance:
66. Provide a plot plan of the property showing property line dimensions, measured distances of improvements in relation to the property lines, street(s), measured distances of proposed improvements needing variance in relations to property lines.
68. NOTICE OF REQUIREMENTS:
70. 1. Attach a list of names and mailing addresses of surrounding property owners within one hundred sixty (160) feet in each direction of the property as shown by Jackson County Land Records.
72. 2. Deposit made for costs of administration, notice mailings and notice publication, in the amount of $95.00.
74. THE UNDERSIGNED OWNER(S) AND APPLICANT(S) WARRANT BY THEIR SIGNATURE(S) THAT:
76. 1.All facts and information set out above and furnished are true and correct.
78. 2. The burden of proving the need for the action requested is on Applicant(s)/Owner(s).
80. 3. Applicant(s) / Owner(s) will furnish any additional information and documentation required by Board of Adjustment and/or Mayor and Board of Aldermen.
82. SUBMITTED DATE:
    SUBMITTED DATE:
83. RECEIVED by Building Official Date:
    RECEIVED by Building Official Date:
85. APPLICANT/OWNER
86. APPLICANT/OWNER
88. TO APPLICANT/OWNER(S):
90. The Public Hearing on your Application the Zoning Board of Adjustment will be held at the Board Room at Moss Point City Hall, 4320 McInnis Avenue, Moss Point, MS.
    The Public Hearing on your Application the Zoning Board of Adjustment will be held at the Board Room at Moss Point City Hall, 4320 McInnis Avenue, Moss Point, MS.

    The Public Hearing on your Application the Zoning Board of Adjustment will be held at the Board Room at Moss Point City Hall, 4320 McInnis Avenue, Moss Point, MS.
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92. 1. Receive an email copy of this form.
93. Email address

    This field is not part of the form submission.

94. Submit Submit and Print

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