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Zoning Amendment Application

2. Applicant Information

4. First Name*

5. Last Name*

7. Address*

9. City*

10. State*

11. Zip Code*

13. Email Address*

15. Phone Number*

16. Fax Number

18. Property Owner Information
    Required if property owner is different than the applicant

    Required if property owner is different than the applicant

20. First Name

21. Last Name

23. Address

25. City

26. State

27. Zip Code

29. Phone Number

30. Fax Number

32. Email Address

34. Zoning Map Amendment

36. Property Address*

38. Parcel ID No.

39. Plat Name (if applicable)

41. Current Zoning*

42. Proposed Zoning*

44. Comprehensive Plan Designation

45. Site Area (acreage)

47. Current Land Use*

48. Proposed Land Use*

50. Zoning Code Text Amendment
    Zoning Code section proposed to be modified and/or Proposed language to be considered.

    Zoning Code section proposed to be modified and/or Proposed language to be considered.

52. Proposed Amendment*

54. Applicant/Property Owner Certification
    Included is a statement indicating why, in my opinion, the change requested is necessary and why such amendment will advance the public health, safety and welfare. An assessment of the impact of the proposed zoning amendment on the community or property of other persons in the vicinity of the amendment or affected by the amendment is also included.

    Included is a statement indicating why, in my opinion, the change requested is necessary and why such amendment will advance the public health, safety and welfare. An assessment of the impact of the proposed zoning amendment on the community or property of other persons in the vicinity of the amendment or affected by the amendment is also included.

56. upload file attachment if needed

58. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
60. Electronic Signature*

61. Date*

Leave This Blank:


62. 1. Receive an email copy of this form.
63. Email address

    This field is not part of the form submission.

64. Submit

* indicates a required field