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City of Newport
Land Use Application
Applicant Name(s): Property Owner Name(s)
Applicant Mailing Address:
Property Owner Mailing Address:
Authorized Representative(s): Person authorized to submit and act on this application on applicant’s behalf
Authorized Representative Mailing Address:
Authorized Representative Telephone No.
Authorized Representative Email.
Project Information
Property Location: Street name if address # not assigned
Zone Designation: Legal Description: Add additional sheets if necessary
Comp.Plan Designation:
Brief description of Land Use Request(s):
Examples:
1. Move north property line 5 feet south
2. Variance of 2 feet from the required 15-foot
front yard setback
Existing Structures: if any
Topography and Vegetation:
Application Type (please check all that apply)
Annexation
Appeal
Comp Plan/Map Amendment
Conditional Use Permit
PC
Staff
Design Review
Geologic Permit
Interpretation
Minor Replat
Partition
Planned Development
Property Line Adjustment
Shoreland Impact
Subdivision
Temporary Use Permit
UGB Amendment
Vacation
Variance/Adjustment
PC
Staff
Zone Ord/Map
Amendment
Other
FOR OFFICE USE ONLY
File No. Assigned:
Date Received: Fee Amount: Date Accepted as Complete:
Received By: Receipt No. Accepted By:
City Hall
169, SW Coast Hwy
Newport, OR 97365
541.574.0629