An application has been filed by (name of applicant) for
a (variance, exception, special use permit) to permit
(purpose for zoning request)

at (address) in the City of (city) , County of
(county) , State of (state)

The property in question is presently zoned for (zoning)
, and the adjacent property is (zoning)

As property owners in the area, the undersigned do hereby
request that the pending application mentioned herein be
denied by the (name of commission) on the following
grounds:

(grounds for petition)