DATE: ______________________________

TO THE PLANNING AND ZONING ADJUSTMENT BOARD OF THE TOWN OF WOODFIN, NORTH CAROLINA:

We, the undersigned, being the owners of the property described herein, request that said property be considered for:

Interpretation _______________________

Conditional Use ______________________

Variance______________________________

Re- zone for the reasons stated below:

 

Ward	Sheet	Lot	Address of Property	Owner's Name and Signature
.	.	.	.	.

  Received by: ____________________________________________
Zoning Administrator