Application No. ________________
HENDERSON COUNTY
COMMON LAW VESTED RIGHTS APPLICATION FORM
GENERAL INFORMATION
Date of Application: ___________________________________
PARCEL INFORMATION
Property Address: ___________________________ City, State, Zip: __________________________________
PIN: _____________________________________ Tract Size (Acres): ________________________________
Previous Zoning District: _____________________ Current Zoning District: ____________________________
CONTACT INFORMATION
Property Owner:
Name: ____________________________ Phone: _________________________________________
Address: __________________________ City, State, Zip: __________________________________
Applicant:
Name: ____________________________ Phone: _________________________________________
Address: __________________________ City, State, Zip: __________________________________
Agent:
Name: ____________________________ Phone: _________________________________________
Address: __________________________ City, State, Zip: __________________________________
Agent Form (Circle One): Yes No
PROVISION OF PROOF
Attached are the following:
_____ A copy of a valid governmental permit that has been obtained for the specific project;
_____ Proof that the developer has made a substantial expenditure in reliance upon the permit;
_____ Proof that the developer was acting in food faith; and
_____ Proof that the developer suffers harm if required to comply with the new rules.
__________________________________________________________________________________________
County Use Only
Fee: $_____________ Paid: _____________ Method: __________
Received by Planning Director: _________________
