APPENDIX D: PUBLIC HEARING APPLICATION FORM
Type of Request
Application Fees
      Variance;         Interim Use
$250 Non-refundable application fee
      Zoning amendment
$250 Consulting escrow fee
      Comprehensive plan amendment
$500 Application payment due\
              Date application complete
                    Date payment received
              Public hearing date
Property Location
Parcel I.D.:                                                          
Subdivision:                                                        
Lot:                   Block:                    
Street address:                                                    
Current zoning:                                                  
Proposed zoning:                                        
Current comp. plan:                                          
Proposed land use:                                      
Description of Request:
                                                                                                                                                                   
(Attach additional narrative information, site plans and other relevant information to the application form).
Agreement:
I am the fee owner or authorized representative of the fee owner of the property for the above proposed action. I understand that there may be required for submittal in duplicate form before the application is accepted and the public hearing is set. I understand that the application fee is non-refundable. I understand the consulting escrow fee is required to cover the city’s out-of-pocket expenses caused by the review of the application. I understand that this is an escrow only and full payment for consulting fees in excess of $250 will be required prior to the issuance of any permits or final action on the request. Any unexpended escrow funds will be refunded.
Signature of applicant:                                                                  Date:                                   
                                                                                                                                                         
Planning Commission action:                                                      Date:                                       
City Council action:                                                                      Date:                                       
 
(Ord. 150, passed 2-22-2000; Ord. 3- -2007)