APPENDIX IV – APPLICATION FOR AMENDMENT TO THE CITY ZONING CODE

   CITY OF SHELBY, RICHLAND COUNTY, OHIO

   APPLICATION FOR AMENDMENT TO THE

   CITY OF SHELBY ZONING CODE

ALL APPLICATIONS MUST BE SIGNED BY AN OWNER OR LESSEE.

NAME OF APPLICANT                                                                                                                       

ADDRESS                                                                                                                                          

PHONE NUMBER                                                                                                                               

LOCATION OF PROPERTY TO BE REZONED                                                                                      

CURRENT DISTRICT                                                                                                                          

PROPOSED DISTRICT                                                                                                                        

IF THE AMENDMENT SOUGHT INVOLVES A CHANGE IN THE TEXT RATHER THAN THE USE DISTRICT, ATTACH PROPOSED LANGUAGE AND SPECIFY SECTION TO BE AMENDED.

ATTACH A SITE PLAN SHOWING BOUNDARIES OF PROPERTY, ABUTTING STREETS AND ROADS.

ATTACH A LIST OF THE NAME AND ADDRESS OF ALL PROPERTY OWNERS WITHIN, CONTIGUOUS TO AND DIRECTLY ACROSS THE STREET FROM THE PROPERTY TO BE REZONED.

Date                     Applicant Signature

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