16-Reasonable Accommodation Application_12-2020Page 1 of 3
Reasonable Accommodation Application – Updated 12-2020
NEW HANOVER COUNTY_____________________
DEPARTMENT OF PLANNING & LAND USE
230 Government Center Drive, Suite 110
Wilmington, North Carolina 28403
Telephone (910) 798-7165
FAX (910) 798-7053
planningdevelopment.nhcgov.com
REASONABLE ACCOMMODATION APPLICATION
This application form must be completed as part of an application to appeal an administrative decision submitted
through the county’s online COAST portal. The main procedural steps in the submittal and review of applications for
text amendments are outlined in the flowchart below. More specific submittal and review requirements, as well as the
standards to be applied in reviewing the application, are set out in Section 10.3.13 of the Unified Development
Ordinance.
Public Hearing Procedures
(Optional)
Pre-Application
Conference
(Optional)
Community
Information
Meeting
1
Application
Submittal &
Acceptance
2
Planning
Director Review
& Staff Report
3
Public Hearing
Scheduling &
Notification
Advisory Body
Review & Action
4
Board of
Adjustment
Hearing &
Decision
5
Post-Decision
Limitations and
Actions
1. Applicant and Property Owner Information
Applicant/Agent Name Owner Name (if different from Applicant/Agent)
Company Company/Owner Name 2
Address Address
City, State, Zip City, State, Zip
Phone Phone
Email Email
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Reasonable Accommodation Application – Updated 12-2020
2. Subject Property Information
Address/Location Parcel Identification Number(s)
Total Parcel(s) Acreage Summary of Special Exception Requested:
3. Request for Special Exception
In the space below, please describe the request for the reasonable accommodation, including the provisions of the
Unified Development Ordinance for which the accommodation is being requested. Applicants are advised to
demonstrate how the reasonable accommodation request
Will be used by an individual or individuals with a disability or handicap protected under federal law;
Is the minimum needed to provide accommodation; and
Is reasonable and necessary.
Please attach additional pages if necessary.
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Reasonable Accommodation Application – Updated 12-2020
Staff will use the following checklist to determine the completeness of your application. Please verify all of the
listed items are included and confirm by initialing under “Applicant Initial”. Applications determined to be
incomplete must be corrected in order to be processed for further review.
Application Checklist Applicant Initial
This application form, completed and signed
Any supporting documentation
One hard copy of ALL documents. Additional hard copies may be required by staff
depending on the size of the document/site plan
One digital PDF copy of ALL documents.
4. Acknowledgement and Signatures
By my signature below, I understand and accept all of the conditions, limitations, and obligations of the
reasonable accommodation for which I am applying. I certify that this application is complete and that all
information presented in this application is accurate to the best of my knowledge, information, and belief.
If applicable, I also appoint the applicant/agent as listed on this application to represent me and make decisions
on my behalf regarding this application during the review process. The applicant/agent is hereby authorized on
my behalf to:
1. Submit an application including all required supplemental information and materials;
2. Appear at public hearings to give representation and comments; and
3. Act on my behalf without limitations with regard to any and all things directly or indirectly connected with
or arising out of this application.
Signature of Property Owner(s) Print Name(s)
Signature of Applicant/Agent Print Name