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(time stamp)
Official Use Only
(time stamp)
Official Use Only
Comprehensive Plan Amendment and Rezoning Application
A submittal is only a request to have the Comprehensive Plan amendment and/or Zoning
Map change reviewed at a public hearing before the Zoning Commission. The Zoning
Commission reviews the requested Comprehensive Plan amendment and/or Zoning Map
change at a public hearing making a recommendation based on a staff report, applicant
presentation, as well as public input. The Zoning Commission recommendation is considered
by the Board of Supervisors at a public hearing on the request. Notice of each public hearing
is published in the official county newspapers and individual notice will be mailed to all
property owners located within 500 feet of the subject property. Requests that are denied
shall not come back to the Board of Supervisors for one year. Refunds will not be made once
notice has been sent out to adjacent property owners.
Please complete the entire application, submit with fee and review the criteria on page 3.
The undersigned request that the Zoning Commission consider this reclassification.
1. ______________________________ 2.______________________________
Current Future Land Use
Proposed Future Land Use
Classification Classification
4. ______________________________3. ______________________________
Current Zoning District
Proposed Zoning District
5. Subject Property Address: ____________________________________________________________
6. District and Parcel Number: _______________________________________
7. Subject Property Legal Description (attach if necessary):
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
8. Filing Fee: - $438.00
9. Applicant(s) Information:
_________________________________ _________________________________ _________
Applicant (Print Name) Signature date
_____________________________________________ _________________________________
Interest in Property (owner, renter, perspective buyer, etc.) Email
_______________________________________________________ _________________ _________________
Address, City, State and Zip Phone Fax
10. Applicant(s) Representative:
If the appeal is going to be represented by someone other than the applicant please provide that information below:
________________________________ __________________________________________________
Applicant Representative (Print Name) Firm or Business Name
________________________________________________________________
Address, City, State and Zip
________________________________________________ ________________ _________________
Email Phone Fax
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signature
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Page 2 of 3
11. Property Owner Consent:
The application must be signed by all the Titleholders, Contract Purchasers, or Option Purchasers of the subject
property. The
application may also be signed by the Registered Agent for a corporation or other person with similar legal
authority to sign for a property owner. (if additional signatures are needed please attach)
_________________________________ _________
Signature
date
_________________________________ _________
Signature date
_________________________________ _________
Signature date
_________________________________ _________
Signature
date
_________________________________
(Print Name)
_________________________________
(Print Name)
_________________________________
(Print Name)
_________________________________
(Print Name)
12. Written description:
Please provide a written description providing specific detail and reasons for the proposed request. (Attach if necessary)
Optionally attach any additional information including concept plans for the proposed development or use.
_________________________________________________________________
______________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
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________________________________________________________________________________________________
Return completed forms to: Polk County Public Works, Planning & Development Division
5885 NE 14
th
Street, Des Moines, IA 50313
Phone (515) 286-3705 Fax (515) 286-3437
Forms available online http://www.polkcountyiowa.gov/PublicWorks/
Zoning Commission Calendar
Zoning Comm Calendar
A completed application with required information and filing fee must be submitted.
Incomplete submittals will not be processed and will be returned to the Applicant.
OFFICIAL USE ONLY
Date Received Received by
P&Z meeting date BOS meeting date
BOS Approved Y / N Effective date
email: PublicWorks@polkc
ountyiowa.gov
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signature
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signature
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signature
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signature
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Page 3 of 3
Evaluation Criteria
The following criteria are used to evaluate a Comprehensive Plan Amendment and Rezoning requests. The written
description on page 2 or attached should address as many of the below criteria as possible.
Comprehensive Plan Amendment
The Polk County 2030 Comprehensive Plan lists specific issues which must be addressed prior to amending
the plan.
Those seeking changes must convince the County that a real and immediate need for change exists. Each amendment
request will be evaluated based on the magnitude of the proposed revision, its relationship to the Vision and Goals
statements, and the nature of the changing circumstances that have resulted in the request. Proposed changes in the
land use should also be evaluated in relation to their impacts on the following:
1) Public facilities and services, such as transportation, sewers, water supply, schools and public safety.
2)
Surrounding properties and neighborhood character.
3) Productive farmland and on going agricultural operations.
4) Natural resources and open space; historic buildings or structures.
5) Proximity to adjacent City plans.
Changes may also be needed to correct errors, meet regional goals, or refine the plan based on more recent specific
area or corridor plans.
Rezoning (Zoning Map Amendment)
The Zoning Map may be amended to bring it into conformance with the Comprehensive Plan when the Comprehensive
Plan
is
amended. If the Comprehensive Plan does not merit an amendment, then there shall not be an amendment to
the Zoning Map.
One of the following reasons must be demonstrated for approval of a rezoning.
1) The Comprehensive Plan has been amended and the Zoning Map needs to be brought into conformance with
the revised Plan.
2) A mistake was made in the original map. That is to say, an area is, and has been, developing in a manner and
purpose different from that for which it was mapped. Since the County may have intended to stop an
undesirable land use pattern from spreading, it must be demonstrated that the circumstance is not intentional.
3)
Changing conditions, such as new roads or utility lines, makes another location more favorable for development
than the location originally planned.
4)
Growth rates have changed, thereby increasing the need for development in the County.