Fillable Application For Special Use Permit (City Of Jamestown)

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Application For Special Use Permit (City Of Jamestown)

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The Application For Special Use Permit (City Of Jamestown) form is 2 pages long and contains:

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  • 4 check-boxes
  • 29 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City Of Jamestown

BROWSE CITY OF JAMESTOWN (ND) FORMS

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102 3
rd
Avenue SE
Jamestown, ND 58401
Office: 701-252-5900
Fax: 701-252-5903
APPLICATION FOR SPECIAL USE PERMIT
Applicant:
Name:
Mailing Address:
Telephone:
E-mail Address:
Property Owner (If Different than Applicant):
Name:
Mailing Address:
Telephone:
E-mail Address:
Contact Person/Agent:
Name:
Mailing Address:
Telephone:
E-mail Address:
Property Information:
Legal description of property (lot, block, addition):
Property Street Address:
Existing Zoning:
Proposed Zoning:
Existing Use:
Proposed Use:
Acreage:
Number of Lots:
Brief description of special use permit, including reason(s) for the request:
Reason for denial of building permit:
This application is filed complete with the submittal of the required elements. I certify that all of the
property owners of the lots or parcels of land described have signed or ratified this application.
____________________________________________________ __ __________________________
(Applicant’s Signature) (Date)
____________________________________________________ __ __________________________
(Owner’s Signature, if different) (Date)
____________________________________________________ __ __________________________
(Additional Owner’s Signature, if applicable) (Date)
Submitted:
Not Applicable:
Site Plan displaying lot size, present structure or uses, proposed
structure or uses and measurement to lot lines and object of
identification
§12 –Zoning Administrator ; permits; plats
D. Special use permit. A special use permit shall be applied for an issued for such buildings and uses
as are permitted herein for various districts only after securing such a special use permit. The
zoning administrator shall receive such applications, shall refer them to the city council for
approval and upon approval, shall issue special use permits after securing written agreements or
other required assurance of faithful observance of such conditions as may have been established
in the council’s action.
City Hall Use Only
Date Application was Received:
Received By:
Application Complete:
Yes:
No:
Approval
Date of Planning & Zoning Committee Meeting:
Date Resolution was Approved:
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Pre-Applicaon Meeng
Submit Applicaon
Review Applicaon for compability with Land
Use Plan and accuracy of property descripon
Submit applicaon to the Building, Planning,
and Zoning Commiee
Applicaon Reviewed at a Building, Planning,
and Zoning Commiee Meeng
Resoluon for the approval of the Special Use
Permit is presented at a City Council Hearing
Resoluon is adopted or the applicaon is
denied
Week
4
Weeks
3
Week
2
City Council
Hearing
Special Use Permit
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Application For Special Use Permit (City Of Jamestown)

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Completed 16 July 2020

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