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Conditional Use Permit Application
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Steps
1.
Ownership Information
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2.
Applicant / Agent Information
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3.
Property Details
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Ownership Information
First Name
Signature
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Address
City
State
Zip Code
Phone Number
Email Address
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Applicant / Agent Information
Name
Signature
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Address
City
State
Zip Code
Phone Number
Email Address
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Property Details
Tax Parcel
Zoning District
Date Acquired
Date Acquired
Deed Reference: Book
Deed Reference: Page
Property Location
Size
Square Feet or Acres
Street Frontage
Current Land Use
Surrounding Land Use
North
South
East
West
Purpose & Section
State Purpose of Conditional Use Permit
Cite Section(s) of Zoning Ordinance Which Permit is Being Requested
Attached Documents
Applicant must attach a response to the evaluation criteria from Section 21-59 and an accompanying site plan based on information required in Section 21-52 and 21-60.
Attachment
Attachment
Applicant shall, at the time the application is made, present all the necessary evidence (maps, drawings, statements, certifications, etc.) showing how the requirements of the applicable sections of the Zoning Ordinance will be met.
Signature of Coordinator
Board of Commissioners Public Hearing
Board of Commissioners Public Hearing
Notifications Mailed
Notifications Mailed
BOC Action
Approved
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Date Applicant Notified
Date Applicant Notified
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