Rezoning Application Form

REZONING APPLICATION FORM

A. Administrative Information

Application Number:

Date of Submission:

B. Property Identification

C. Applicant and Owner Information

D. Current and Requested Zoning

Existing Zoning District:

Requested Zoning District:

Proposed Use(s):

E. Development and Site Information

Check all that are attached:

F. Consistency, Impact & Environmental

Is the property within any of the following? (check all that apply)

G. Applicant Narrative and Justification

H. Required Materials & Fees

Fee Amount Submitted: $

Payment Method: Check Card Other

Submission Checklist (required):

I. Notifications and Public Hearing

Distance for Notice (e.g., properties within):

J. Disclosures and Certifications

Certifications — The undersigned hereby certifies under penalty of law that the information contained in this application and submitted materials is true, correct, and complete to the best of their knowledge. Submission of this application constitutes consent to the local jurisdiction's processing of the application, scheduling of public hearings, and distribution of application materials to reviewing agencies and the public as required by law.

Applicant further acknowledges that:

1. Application fees are non-refundable. Additional fees may be required for studies, notices, or consultant review and will be billed to the applicant.
2. Incomplete applications or failure to provide required documentation will delay processing and may result in denial without prejudice.
3. Any voluntary conditions offered by the applicant may be incorporated into an approval and may be enforceable as conditions of approval.

Penalties:

Knowingly making false statements or providing false information in connection with this application may result in denial, revocation of approvals, and further civil or criminal penalties to the extent permitted by law.

Governing Law:

This application and any approvals issued pursuant to this application are governed by the ordinances and regulations of the local jurisdiction and applicable state law. The applicant agrees to comply with all applicable conditions and requirements imposed in any approval.

K. Applicant Acknowledgement

I acknowledge that I have read and understand the application requirements, certify the information provided is accurate, and authorize municipal staff to enter the subject property for inspection related to this application.

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