______Applicant’s Initials October 2019
Comprehensive Plan Amendment
City of Baton Rouge / Parish of East Baton Rouge
Office of the Planning Commission, 1100 Laurel Street, Suite 104
Baton Rouge, Louisiana 70802
Staff Use Only
Fee(s): ___________________ Application Taken by: ___________
Case Number: _________________ Meeting Date: _________________
MPN Project Number: _______________
Please Print or Type (all entities listed below will be copied on all comments)
1. Applicant Name and Title:______________________________________________________
Email Address: __________________________ Daytime Phone Number: _______________
Business: ___________________________________________________________________
Address: ____________________________ City: ____________ State: ________ZIP: ______
2. Developer (if applicable): ______________________________________________________
Email Address: ______________________________________________________________
3. Name of Property Owner: _____________________________________________________
Email Address: __________________________ Daytime Phone Number:________________
Address: _________________________ City: _______________ State: _________ ZIP:
4. Specific proposed Comprehensive Plan Element change (check all appropriate boxes):
☐Comprehensive Land Use Plan Amendment
☐Comprehensive Land Use Plan Amendment with companion rezoning
☐Major Street Plan Amendment
☐Text Amendment
☐Other
Proposed text change description (Provide addendum sheet for detailed or lengthy text
change descriptions): _________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
5. Subject Property Information:
CPPC Lot ID#(s): _____________________________________________________________
Lot #(s): ____________________________ Block/Square: ___________________________
Subdivision or Tract Name: ____________________________________________________
Property Street Address: ______________________________________________________
Date Received: _________________