Fillable Change Of Use Application (City of Gulfport Mississippi)

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Change Of Use Application (City of Gulfport Mississippi)

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The Change Of Use Application (City of Gulfport Mississippi) form is 2 pages long and contains:

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U.S.A. forms for City of Gulfport Mississippi

BROWSE CITY OF GULFPORT MISSISSIPPI (MS) FORMS

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Revision date 11/20/19
.
Page 1 of 4
If the property or properties listed above have more than one owner, please check this box. In the case
of multiple owners, reverse side must be completed. Each additional owner will need to complete
and sign the reverse side of this application. We can only accept applications with original signatures.
SECTIONS A. THROUGH G. MUST BE SUBMITTED FOR A COMPLETE APPLICATION.
CITY OF GULFPORT
Urban Development - Planning Division
1410 24th Avenue
Gulfport, MS 39501
(228) 868-5710
APPLICATION FOR
CHANGE OF USE
GENERAL DESCRIPTION OF REQUEST:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
___________________________________________________
OWNERSHIP AND CERTIFICATION:
I hereby certify that I have read and understand this application and that all information and attachments are true
and correct. I also certify that I agree to comply with all applicable city codes, ordinances and state laws.
Finally, I certify that I am the owner of the property involved in this request or have authorization to act as the
owner’s agent for the herein described request.
OWNER
____________________________________
Printed Name Of Owner
____________________________________
Mailing Address
____________________________________
City State Zip code
____________________________________
Home Phone Work/Cell Phone
____________________________________
Email
____________________________________
Signature Of Owner
AGENT
____________________________________
Printed Name Of Agent
____________________________________
Mailing Address
____________________________________
City State Zip code
____________________________________
Home Phone Work/Cell Phone
____________________________________
Email
__________________________________________________
Signature Of Agent
For Staff Use Only
Case File #:___________________
Date Received:________________
Receipt #:____________________
Received By:__________________
Zoning: ______________________
Ward: ________Flood:__________
Size:_________________________
Property Information
TAX PARCEL #
(If necessary, use separate sheet of paper)
Address of Property Involved:_______________________________________________________________
Lot(s)______________, Block(s)_______________, Subdivision___________________________________
General Location:_________________________________________________________________________
Revision date 11/20/19
.
Page 2 of 4
This page must be completed if the property or properties involved have more than one owner. All
persons listed as owners to the property or properties listed on page one must complete and sign this part
of the application.
I hereby certify that I have read and understand this application and that all information and attachments
are true and correct. I also certify that I agree to comply with all applicable city codes, ordinances and
state laws. Finally, I certify that I am the owner of the property involved in this request or authorized to
act as the owner’s agent for herein described request.
NAME OF OWNER (PRINT)
ADDRESS (STREET, CITY, STATE, ZIP CODE
PHONE # (H) (W)
TAX PARCEL NUMBER(S) OWNED
SIGNATURE:
NAME OF OWNER (PRINT)
ADDRESS (STREET, CITY, STATE, ZIP CODE
PHONE # (H) (W)
TAX PARCEL NUMBER(S) OWNED
SIGNATURE:
NAME OF OWNER (PRINT)
ADDRESS (STREET, CITY, STATE, ZIP CODE
PHONE # (H) (W)
TAX PARCEL NUMBER(S) OWNED
SIGNATURE:
Use additional forms as needed)
IN CASES OF MULTIPLE APPLICANTS, PLEASE IDENTIFY THE PERSON WHO WILL BE ACTING AS YOUR SPOKES
PERSON/AGENT FOR YOU:
Revision date 11/20/19
.
Page 3 of 4
SUBMISSION REQUIREMENTS
IMPORTANT NOTICE
1. Please be advised that failure to submit a complete application, with all supporting documents, could
delay your hearing date. The Zoning Board will not consider a request until all information is
submitted and accurate.
2. Please be advised that the application deadline dates posted are designed to allow the staff time to review
the application and receive required comments from coordinating agencies. The application is not
considered complete until all required information from the applicant is available for review by the staff
and coordinating agencies.
3. Please see reverse of this sheet to determine the deadline dates for filing your application.
3. Please see reverse of this sheet to determine the deadline dates for filing your application.
deadline dates for filing your application.
E. The City of Gulfport Planning Division Staff will
notify, by letter, property owners adjacent to the
requested action identified in this application using
the Land Roll database from the County Tax Office.
If you would like to have additional persons or
property owners notified, please provide a list of
additional persons to be notified.
F. A written statement explaining that the
proposed use is appropriate with regard to the
following:
Transportation and access
Water supply and Waste disposal
Fire and Police protection
Other public facilities
Why the proposed project won’t cause undue
traffic congestion or crate a traffic hazard.
Why the change of use is of equal or lesser
intensity than the existing non-conforming
use.
Why the proposed use is in harmony with the
orderly and appropriate development of the
district in which the use is located..
G. Cash or check payable to the City of Gulfport in
the amount of $75.00.
A. Page one of this application, completed and
signed.
B. Site plan. Please note that approval of your request,
in part, is based on your site plan.
The property lines and dimensions have been
provided on the drawing.
All buildings and structures located on the
property have been identified.
All dimensions of buildings and structures have
been noted on the site plan.
All distances from the property lines to all the
buildings and structures have been identified and
noted on the site plan.
Street names have been provided which abut the
property.
Traffic flow, parking and driveways have been
identified.
If required buffer strips have been identified
Other pertinent information as needed to
pictorially demonstrate the proposed
development/use.
C. Proof of ownership (Copy of deed or affidavit).
D. If applicable, notarized proof of authority to act as
agent for owner (Board Resolution, etc.)
Revision date 11/20/19
.
Page 4 of 4
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Change Of Use Application (City of Gulfport Mississippi)

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Completed 14 July 2020

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