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Date Received:
Exchange of Property / Combination of Lots
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):
MPN Project Number:
Application Taken by:
Please Print or Type (all entities listed below will be copied on all comments)
1.
Applicant Name:
Email Address: Daytime Phone Number:
Business (if applicable):
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.
Subject Property Information:
CPPC Lot ID#(s):
Lot #(s): Block/Square:
Subdivision or Tract Name:
(If property is not subdivided, attach a complete legal description and a survey map indicating
bearings and dimensions.)
Nearest Intersection:
5.
Specific proposed use:
6.
Zoning District and Comprehensive Plan Land Use Designation:
7.
Size of property:
8.
Number of lots:
9.
Average size of lots:
10.
Type of request: ☐ Exchange of Property ☐ Combination of Lots
Applicant’s Initials
P a g e | 1 Oct 2019