Fill and Sign the Rezoningsfuture Land Use Map Amendments City of Cedar Form

CITY OF APPLICATION FOR REZONING AND/OR FUTURE LAND USE MAP AMENDMENT Please provide all of the following information and return to: City of , 1. Official 911 address or legal description: _______________________________________________________________________________________________________________ 2 Property Appraiser parcel #: ________________________________________________ 3. Total acres to be considered as part of this request: _____________________________ 4. The names and addresses of all owners as shown in the County public records:________________________________________________________________________________________________________________________________________________ 5. Current zoning designation: _____ Requested zoning designation: _____ 6. Current land use designation: ________ Requested land use designation: _________ 7. Reason for rezoning/land use amendment request: _______________________________________________________________________________________________________ 8. Number and types of structures on the property: ________________________________________________________________________________________________________ 9. Copy of recorded deed (attach to application). 10. Boundary survey or location map (attach to application). 11. Name, telephone number, and mailing address of agent authorized to represent owner (if applicable): ____________________________________________________________ 12. Select and attach appropriate application fee (checks payable to City of ): __ $130.00 (rezoning only) __ $240.00 (rezoning with small scale land use amendment) __ $350.00 (rezoning with large scale land use amendment) 13. This application submitted by: Signature of owner(s): ________________________ _______________________ Print owner(s) name(s): _______________________ _______________________ Address of owner(s): _________________________ ______________________________________________ _______________________ Telephone: _______________________ _______________________ STATE OF County of Before me this day personally appeared _______________________________ who executed the foregoing application and acknowledged to and before me that ______ executed said instrument for the purposes therein expressed. WITNESS my hand and official seal, this ______ day of ______________ A.D. 20___. ______________________________ Notary Public My commission expires: State of at Large