PUBLIC WORKS DEPARTMENT
LAND USE APPLICATION REVIEW FORM
Parcel Number(s):
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Property Address:
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Applicant:
*
Application Type:
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Zone Change
Subdivision
CUP
Variance
Lot Split
Current Zoning Designation
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Please Select
A-40 - Agricultural 40
A-20 - Agricultural 20
A-10 - Agricultural 10
A-5 - Agricultural 5
RA-1 - Residential-agricultural 1
RA-.5 - Residential-agricultural .5
R1-15 - Single-family residential 15
R1-10 - Single-family residential 10
R1-8 - Single-family residential 8
R1-6 - Single-family residential 6
RM-1 - Multiple-family residential 1
RM-2 - Multiple-family residential 2
RM-3 - Multiple-family residential 3
MH/RV - Mobile home/RV park
NC - Neighborhood commercial
GC - General commercial
HC - Highway commercial
PC - Planned commercial
POC - Pedestrian-oriented commercial
BMP - Business/manufacturing park
PO - Professional office
M-1 - Light industrial
M-2 - Heavy industrial
OS - Open space
PF - Public facilities
RPZ - Runway protection
RR - Recreation resort
MU - Mixed Use
TC - Special Town Center District
OTH - Other
Proposed Zoning Designation (if change asked for)
Please Select
A-40 - Agricultural 40
A-20 - Agricultural 20
A-10 - Agricultural 10
A-5 - Agricultural 5
RA-1 - Residential-agricultural 1
RA-.5 - Residential-agricultural .5
R1-15 - Single-family residential 15
R1-10 - Single-family residential 10
R1-8 - Single-family residential 8
R1-6 - Single-family residential 6
RM-1 - Multiple-family residential 1
RM-2 - Multiple-family residential 2
RM-3 - Multiple-family residential 3
MH/RV - Mobile home/RV park
NC - Neighborhood commercial
GC - General commercial
HC - Highway commercial
PC - Planned commercial
POC - Pedestrian-oriented commercial
BMP - Business/manufacturing park
PO - Professional office
M-1 - Light industrial
M-2 - Heavy industrial
OS - Open space
PF - Public facilities
RPZ - Runway protection
RR - Recreation resort
MU - Mixed Use
TC - Special Town Center District
OTH - Other
N/A
Reviewer Full Name:
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Reviewer Title:
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SECTION 1: STREET ACCESS & CIRCULATION
1. Does property have adequate street frontage/access for proposed use and density?
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Yes - Explain Below
No - Explain Below
1a. Street Access Details:
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2. Are additional access points required?
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No
Yes - Describe below
2a. Additional Access Requirements:
SECTION 2: DRAINAGE & GRADING
3. Are there drainage or grading concerns on or affecting the property?
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No significant concerns
Yes - Describe below:
3a. Drainage/Grading Concern Details:
SECTION 3: INFRASTRUCTURE
4. Are street improvements required?
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No
Yes - Explain below
4a. Street Improvement Details:
5. What street signage will be required (if any) for this application?
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7. When must improvements be completed?
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Not applicable
Prior to final plat
Prior to building permit
Other
Improvement Timeline Requirements
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SECTION 4: RECOMMENDATION
Based on public works review, the Department:
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RECOMMENDS APPROVAL (Any conditions or requirements noted above)
RECOMMENDS APPROVAL WITH CONDITIONS (Conditions specified in responses above)
RECOMMENDS DENIAL (Reasons noted in responses above)
ADDITIONAL COMMENTS:
Signature:
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Date:
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: