17-Appeal of Administrative Decision Application_12-2020Page 1 of 3
Administrative Appeal Application ² 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
APPEAL OF ADMINISTRATIVE DECISION APPLICATION
This application form must be completed as part of an application to appeal an administrative decision submitted
through the coXnW\·V online COAST portal. The main procedural steps in the submittal and review of applications 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 10.3.14 of the Unified Development Ordinance.
Public Hearing Procedures
(Optional)
Pre-Application
Conference
(Optional)
Community
Information
Meeting
:
Application
Submittal &
Acceptance
:
Staff Review &
Action
2
Public Hearing
Scheduling &
Notification
:
Advisory Body
Review & Action
3
Board of
Adjustment
Hearing &
Decision
4
Post-Decision
Limitations and
Actions 1 Notice of Appeal
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
2. Subject Property Information
Address/Location Parcel Identification Number(s)
Total Parcel(s) Acreage Existing Zoning and Use(s)
Page 2 of 3
Administrative Appeal Application ² Updated 12-2020
3. Appeal Narrative
Action being appealed: Decision or Interpretation Notice of Violation
Date of decision/violation being appealed:
In the below space, please provide a narrative of the application including any evidence that proves the decision
should be reversed or modified by the Zoning Board of Adjustment (attach additional pages if necessary).
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 iniWialing XndeU ´ApplicanW IniWialµ. ApplicaWionV deWeUmined Wo be
incomplete must be corrected in order to be processed for further review.
Application Checklist Applicant Initial
This application form, completed and signed
Application fee: $400
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.
Page 3 of 3
Administrative Appeal Application ² Updated 12-2020
4. Acknowledgement and Signatures
By my signature below, I understand and accept all of the conditions, limitations, and obligations of the appeal
for which I am applying. I understand that I have the burden of proving why the decision being appealed should
be reversed or modified. 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
Note: This form must be signed by the owner(s) of record. If there are multiple property owners, a signature is
required for each owner of record.
The property owner(s) or their attorney must be present for the case at the public hearing.