Authorized Signature of Owner(s)_____________________________Date______________
ACKNOWLEDGEMENT OF PROPERTY OWNER
STATE OF MISSOURI )
COUNTY OF CHRISTIAN )
On this_____day of___________, in the year______, before me, the undersigned notary public,
personally appeared______________________________________, known to me to be the
person(s) whose name(s) is/are subscribed to the foregoing instrument and acknowledged that
he/she/they executed the same for the purposes therein contained. In witness whereof, I hereunto
set my hand and official seal.
OWNER AND REPRESENTATIVE MUST READ AND INITIAL THE FOLLOWING:
____ ____ Application for a Rezoning, CUP, PUD, Variance, Appeal, etc. does not guarantee approval of
the request. No refunds will be granted. Non-payment of any required fee or charge will result
in an incomplete application and the request will not be heard by the Christian County Planning
Commission, the Christian County Commission, and/or the Christian County Board of
Adjustment. Failure to pay the required fee or charge for a period of ninety days will constitute
a withdrawal of the request.
____ ____ As required by the State Zoning Laws, a legal and must be placed in a local publication. A notice
of public hearing will also be posted on the property by the County.
____ ____ The property owner authorizes Christian County staff to conduct on-site inspections relating to the
request in order to ensure compliance with provisions of the Planning and Development and
Building Inspection Regulations.
____ ____ All public hearings should be attended by the property owner or their representative. Failure to
appear could results in the case not being heard as scheduled. Anyone in attendance will be given
an opportunity to enter testimony into the record. A decision may be issued without the
attendance of the applicant or representative.
____ ____ Christian County is not responsible for inaccurate information provided by the
owner/representative. Submission of an inaccurate legal description could result in the need to
re-advertise the request at the applicant’s expense or making the decision void.
____ ____ All applications, submissions, and testimony at a public hearing are public record.
Unless otherwise posted, all Planning and Zoning Commission Hearings and Board of Adjustment Hearings
are held at 1106 S. Jackson Street, Ozark, MO 65721. Office Phone: (417) 581-7242 Fax: (417) 581-4623