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CONDITIONAL USE CITY OF FAYETTEVILLE, ARKANSAS (City of Fayetteville)

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CITY OF FAYETTEVILLE, ARKANSAS
CONDITIONAL USE
Please fill out the Energov fields completely, supplying all necessary information and documentation to support your
request. Your application will not be placed on the Planning Commission agenda until this information is
furnished.
CUP Checklist:
Attach the following items to this application:
(1)
Payment in full of applicable fees for processing the application:
CUP
$100.00
Public Notification Sign Fee (per sign)
$5.00
Legal description of property (may be found on deed or current survey of property). A survey may be
required if the deed cannot be platted accurately.
Complete description of this request (what is proposed by the applicant) to include:
(a) Building size in square feet; existing and proposed
(b) Color elevations of all exterior sides of the structure
(c) Number of off-street parking spaces to be provided / number required
(d) When request applies to a business or non-residential use:
-Hours of operation
-Number of employees
-Anticipated number of patrons, clients, children, customers, etc. (average per
day / peak hour)
(e) Outdoor lighting
(f) Noise
(g) Screening or buffering from adjacent properties
(h) Trash and refuse service (with particular reference to visibility from the street and adjacent
properties)
(i) Ingress and egress to the property; traffic impacts
(j) A response discussing the general compatibility of the proposed use with adjacent properties and
other property in the neighborhood
Site plan drawn to scale, based on the deed or survey, showing all proposed structures dimensioned from the
overhang to the property line, parking, driveways, Master Street Plan right-of-way, required setbacks.
Preliminary floor plans drawn to scale showing:
(a) Location of walls, doors, windows
(b) Identification of activity areas
A copy of the county parcel map from the Washington County Assessor’s office website
(www.co.washington.ar.us) or the Fayetteville Address Point File (website instructions). The subject property and
all parcels within 200 feet should be identified on this parcel map. The owner’s name, official mailing address,
and the parcel number for every property and resident addresses shall be shown on this map. (Applications for
special conditional uses that require notification within 500 feet should show all properties and property
owner information within 500 feet of the project site. See the notification requirements section of this
application.)
Signature by current property owner of record or written verification signed by such owner designating a
project representative.
The applicant is responsible for meeting the public notification requirements for a conditional use permit
listed on the Notification Requirements pages in this application.
Consent of Owner Form
PROPERTY OWNER(S) / AUTHORIZED AGENT: By signing below, I/we certify under penalty of perjury
that I am/we are the owner(s) of the property that is the subject of this application and that I/we have
authorized this application and consent to its filing.
PLEASE NOTE:
• Property Owners: Attach additional info/documentation if necessary.
• Authorized Agents: If signing on behalf of a Property Owner, a letter from each Property Owner must be
provided indicating that the agent is authorized to act on their behalf.
____________________________________________________________________________________
Associated Project (required field)
Property Owner 1:
x ________________________________________
Name of person signing [printed] Entity/Company signator legally owns or represents
__________________________________________ ________________________________________
Contact Email Contact Phone
____________________________________________________________________________________
Mailing Address
________________________________________________________________ ________________
Property Owner Signature Date
Property Owner 2: (if needed)
x ________________________________________
Name of person signing [printed] Entity/Company signator legally owns or represents
__________________________________________ ________________________________________
Contact Email Contact Phone
____________________________________________________________________________________
Mailing Address
________________________________________________________________ ________________
Property Owner Signature Date
Property Owner 3: (if needed)
x ________________________________________
Name of person signing [printed] Entity/Company signator legally owns or represents
__________________________________________ ________________________________________
Contact Email Contact Phone
____________________________________________________________________________________
Mailing Address
________________________________________________________________ ________________
Property Owner Signature Date
Property Owner 4: (if needed)
x ________________________________________
Name of person signing [printed] Entity/Company signator legally owns or represents
__________________________________________ ________________________________________
Contact Email Contact Phone
____________________________________________________________________________________
Mailing Address
________________________________________________________________ ________________
Property Owner Signature Date
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NOTIFICATION REQUIREMENTS
Written Notification Process:
1. The applicant shall mail a written notice of the action by first-class mail to the address of all
landowners and residents with separate addresses within 200 feet of the boundary line of the property
on which the use is proposed
2. CUP applications for special uses must notify all property owners in writing within 500 feet of the
perimeter of the property. CUP special uses include: Dance halls; Facilities emitting odors and
facilities handling explosives; wireless communication facilities; carnival, circus, amusement park or
similar temporary open-air enterprise; manufactured and mobile homes; outdoor music
establishments; sexually oriented business.
3. The applicant shall provide the following to the Planning Division (contact staff planner or Development
Services coordinator for submittal deadline):
a. alphabetical list of the landowners and residents with separate addresses receiving notification
(City’s Address Point File)
b. map showing the landowners’ relationship to the site (City’s Address Point File)
c. copy of the notice sent to the landowners and residents (example attached)
d. certificate of mailing (example attached)
e. Click here to learn how to create the list of those being notified.
Sign Posting Process:
(1) Signs shall be made available to the applicant by the Planning Division. A $5 fee per sign shall be
remitted by the applicant (contact staff planner or Dev. Srvcs. coordinator for date to pick up sign).
a. The applicant shall post notice on the land for which the use is requested in a visible,
prominent location no more than ten (10) feet from the street, and shall not impede the vision
of drivers or pedestrians.
b. The staff planner may require an alternate location where the property is not adjacent to a
street.
c. Additional signs may be required by the staff planner.
(2) The applicant shall post the sign and submit a certificate of sign posting to the Planning Division.
The sign(s) shall be photographed by the applicant and attached to the certificate (example
attached).
(3) The Planning Division will be responsible for retrieval of signs after the hearing; if a hearing is
postponed, the applicant will be notified when a new sign has been created. The applicant shall
then be responsible for posting the new date of the hearing in accordance with the criteria herein.
THIS IS AN EXAMPLE ONLY – DO NOT USE THIS SHEET
CERTIFICATE OF MAILING
I hereby certify that a true and correct copy of the attached written notice was placed in
the U.S. mail, first-class, postage prepaid this ____ day of ________, 20___, and
addressed as follows:
Name: __________________
Street Address: __________________
City, State, Zip: ___________________
Name: __________________
Street Address: __________________
City, State, Zip: ___________________
Name: __________________
Street Address: __________________
City, State, Zip: ___________________
Name: __________________
Street Address: __________________
City, State, Zip: ___________________
__________________________________
(name of person completing the mailing)
__________________________________
(signature of person completing the mailing)
City File No./Name: ______________________________
THIS IS AN EXAMPLE ONLY – DO NOT USE THIS SHEET
WRITTEN NOTIFICATION FORM
Project Description:
The applicant Name proposes a Type of Development at Project Address.
Building/land Use: _______________________
Zoning: _______________________
Size of Property: _______________________
Density/Intensity: _______________________
Public Hearings:
Planning Commission; 5:30 PM; Month/Date/Year; 113 West Mountain Street (City
Administration Building Room 219) Fayetteville, AR 72701
Property Owner:
Name: _______________________ Phone #: _____________________
Developer:
Name: _______________________ Phone #: _____________________
Review Location:
The project information is available for public review at the City of Fayetteville Planning
Division, 125 West Mountain Street, Fayetteville, AR 72701 Monday-Friday 8AM-5PM;
479.575.8267.
THIS IS AN EXAMPLE ONLY – DO NOT USE THIS SHEET
CERTIFICATE OF SIGN POSTING
I, __________________________________(print the name of the
applicant/representative/person posting sign), attest that the above sign was posted on
________________(month/day/year) adjacent to
_______________________________ (name of street).
________________________________________________
(signature of person completing the sign posting)
City File No./Name: ______________________________
(attach photo here)
(sign lettering must be legible in photo)
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CONDITIONAL USE CITY OF FAYETTEVILLE, ARKANSAS (City of Fayetteville)

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Completed 21 January 2021

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