APPENDIX C: APPLICATION FOR A CONDITIONAL ZONING PERMIT
 
Editor's Note: Appendix A through Appendix I are available in PDF, click HERE
FEE $                      
1.   Applicant's Name                                                                                                               
Address                                                                                                                             
Phone Number                                                                                                                   
2.   The undersigned requests a conditional zoning permit for property located at                            
                         and zoned                                    district, for the following use:
                                                                                                                                       
3.   Attached as part of this application are:
A.   A copy of the zoning application.
B.   Complete plan improvement specifications for any proposed use/building.
4.   Paid: Cash           Check                 Date                   Receipt No.              
                                                                                                                        
Date                     Applicant's Name
CONDITIONAL ZONING PERMIT
A conditional zoning permit is hereby granted in accordance with this application and subject to the
following conditions established by this Planning Commission and approved by Village Council under
Section                                                            .
                                                                                                                     
Date                  Planning Commission Chairman