INDEPENDENCE
PLANNING&ZONING
COMMISSION
APPLICATION
FOR
REZONING
1.Case#: ___________________
2.DateFiled: ___________________
3.FeePaid: ___________________
4.Hearing: ___________________
5.Published: ___________________
Tobefilledoutbyapplicant
1.Applicant’sname:________________________________________________________________________
2.Applicant’saddress:_____________________________________________ Phone:__________________
3.Addressofpropertyproposedforrezoning:___________________________________________________
4.Presentowner’sname:____________________________________________________________________
5.Presentzoning:______________________________Proposedzoning:_____________________________
6.Legaldescriptionofpropertyproposedforrezoning(ifmorespaceisrequired,usebackofform):
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
7.Presentuseofproperty(checkoneofthefollowing):____________________________________________
(a)Vacant
 (b)Residential
(c)Commer cial (d)Industrial
8.Desireduseofproperty:___________________________________________________________________
9.Useandzoningofadjacentproperty:
North:Use________________________________________________Zoning_______________________
South:Use________________________________________________Zoning_______________________
East:Use________________________________________________Zoning_______________________
West:Use________________________________________________Zoning_______________________
10.Listreasonsforthisrequest:
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
 Date:_______________________ Signature:____________________________ ____________
PlanningCommissionActiondonotwriteinthisspace
1.Factsfound:_____________________________________________________________________________
__________________________________________________________________________________________
2.Determination:___________________________________________________________________________
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