APPENDIX A: APPLICATION FOR ZONING AMENDMENT

    APPLICATION FOR ZONING AMENDMENT

                              Date:                          

To: The Board of County Commissioners, Davie County, North Carolina

   Application is hereby made for an amendment to the Zoning (Ordinance) (Map) as follows:

Name of applicant:                                         

Address of applicant:                                      

Address and brief description of the property to be rezoned:                                                                       

Applicant’s interest in property: (Owned) (Leased) or Otherwise:                                                               

Recorded owner or owners of property:                                                                                                   

Type of zoning requested:                                                                                                                     

Sketch attached: Yes              No            (See instructions.)

Reasons for the requested rezoning:                                                                                                       

                           Signed:                                          

Action by the Planning Board:                                                                                                              

Public hearing date:                  Action:                                                                                               

Zoning Map corrected:                                                                                                                          

(1996 Code, Ch. 155 Appendix A) (Ord. passed 5-21-1984)