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04/2020
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Addional / Revised
Informaon Sheet
Date Stamp Here
601 E. Kennedy Blvd., 19th Floor | (813) 272 5600
Applicaon Number: ______________________________ Applicant’s Name: ________________________________________________
Reviewing Planners Name: _______________________________________________________ Date:_______________________________
Applicaon Type:
q
Planned Development (PD)
q
Minor Modicaon/Personal Appearance (PRS)
q
Standard Rezoning (RZ)
q
Variance (VAR)
q
Development of Regional Impact (DRI)
q
Major Modicaon (MM)
q
Special Use (SU)
q
Condional Use (CU)
q
Other ___________________________
Current Hearing Date (if applicable): ____________________________
The following must be aached to this Sheet.
q Cover Letter with summary of the changes and/or additional information provided. If a revised Site Plan is being
submitted, all changes on the site plan must be listed in detail in the Cover Letter.
q An updated Project Narrative consistent with the changes or additional information provided, if applicable.
Submittal Via:
q Email (Preferred). Note that no follow up paper file is necessary. Pdf format only. Maximum attachment(s) size is 15 MB.
Email this sheet along all the additional/revised submittal items in pdf to: ZoningIntake-DSD@hcflgov.net
q Mail or delivery. Number of Plans Submitted: Large ______ Small _______
For PD, MM, PRS and SU: 7 large copies 24”X36”, one small 8.5X11”.
For RZ-Standard: if plot plan is larger than 8.5”X11”, 7 large copies should be submitted.
For Minor Change: 6 large copies.
For Variances or Conditional Use permits: one 8.5”X11” or larger)
Mail to: Hand Deliver to:
Development Services Department County Center
Community Development Division Development Services Department
P.O. Box 1110 19th Floor
Tampa, FL 33601-1110 601 E. Kennedy Blvd., Tampa
I cerfy that changes described above are the only changes that have been made to the submission. Any further
changes will require an addional submission and cercaon.
Signature Date
FOR OFFICE USE ONLY
q
Nocaon E-Mail Sent
q
Scanned into OPTIX
q
Transmial Completed In-Take Completed by: _______________________
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