WestColumbiaZoningAmendmentApplicationPage1of1
CITY OF WEST COLUMBIA
Zoning Map Amendment (Rezoning) Application
RequestNo: DateFiled: Fee:
InstructionsPleaseRead
This form must be completed to initiate a zoning map amendment.Entries must be printed or typewritten.If the
applicationisonbehalfofthepropertyowner(s),allownersmustsign.Iftheapplicantis nottheowner,theowner(s)
mustsigntheDesignationofAgent.NoapplicationforamapamendmentwillbereceivedforinclusiononthePlanning
Commission’sagendaunlessthefollowingconditionsaremetatleastthirty(30)dayspriortothedateofthemeeting:
a. Allquestionsonthisapplicationhavebeenfullyanswered(Useadditionalpaperifnecessary);
b. TheapplicationhasbeensignedbytheowneroragentwiththesignedDesignationofAgent
c. Aplotplandrawntoscale, showingtheactualdimensionsandshapeofthelot,theexactsizeandlocationson
thelotofallbuildingsandsigns,andthenamesofsurroundingpropertyowners
An amendment to the zoning map may be initiated by the City Council, the Planning Commission, the Zoning
Administrator,orthepropertyowner(s)oranagentauthorizedbythepropertyowner(s).
THEAPPLICANTHEREBYREQUESTSthatthepropertydescribedbelowberezoned
fromto
Applicant(s)
Address:
Telephone:(work)  (home)
Owner(s)[ifotherthanApplicant(s)]:
Address:
Telephone:(work)  (home)
(Useadditionalpaperifnecessary)
PropertyAddress:
TaxMap#:ZoningDistrict:
LotDimensions:
Area: PlatBook: Page:
DESIGNATIONOFAGENT
Completeonlyifownerisnotapplicant
I(we)herebyappointthepersonnamedasApplicantasmy(our)agenttorepresentme(us)inthisapplication.
Ownersignature(s):
Ownerprintednames(s):
Date:
I(we)certifythattheinformationinthisapplicationandtheattacheddocumentationiscorrect.I
understandthatthisapplicationwillbecarefullyreviewedandconsidered,andtheburdenofprovingthe
needfortheproposedamendmentrestswiththeapplicant.
Applicantsignature(s):
Applicantprintednames(s):
Date:
CreatedApril5,2010