Fillable Land Use Application All Land Use Applications should (City of Portage)

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Land Use Application All Land Use Applications should (City of Portage)

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Page 1 of 2 Rev. 2017
115 W. Pleasant St.
Portage, WI 53901
608-742-2176
City of Portage
Land Use Application
• All Land Use Applications should be filed at City Hall, 115 W. Pleasant St.
• The following information is required for all applications to be reviewed.
•
This form may also be completed online at: www.portagewi.gov, click on
“Public Works: Forms & Applications” in the Quick Links Box.
FOR OFFICE USE ONLY:
RECEIPT NO:
AMT PAID:
DATE REC’D:
PARCEL NO:
PROPERTY
ADDRESS:
ZONING:
REVIEW REQUIRED BY:
PLAN COMMISSION
BOARD OF ZONING APPEALS
COMMON COUNCIL
ZONING ADMINISTRATOR
STATEMENT OF JUSTIFICATION
YES
NO
PRECONFERENCE
MEETING
PUBLIC
HEARING(S)
Application Type (complete detailed section on reverse side)
Conditional Use Permit
$200 + $30 Rec. Fee
Zoning Amendment
$200
Temporary Use Permit
$200
Zoning Variance
$200
APPLICANT/CONTACT INFORMATION
APPLICANT INFORMATION
CONTACT INFORMATION ( SAME AS APPLICANT)
Applicant Name:
Contact Name:
Address:
Address:
City, State, Zip
City, State, Zip
Telephone:
Telephone:
Fax:
Fax:
Email:
Email:
Relationship to
Applicant:
OWNERSHIP INFORMATION
Owner Signature:
Date:
PROPERTY OWNER – 1 ( SAME AS APPLICANT)
PROPERTY OWNER – 2 (IF NEEDED)
Owner’s Name:
Owner’s Name:
Address:
Address:
City, State, Zip
City, State, Zip
Telephone:
Telephone:
Fax:
Fax:
Email:
Email:
Signature of
Applicant:
Date:
click to sign
signature
click to edit
Page 2 of 2 Rev. 2017
CONDITIONAL USE PERMIT (Reviewed by Plan Commission)
SITE PLAN ATTACHED
Current Use of Property and
Type of Business (if applicable):
Proposed Use of Property and Type
of Business (if applicable):
Proposed Hours of
Operation:
No. of
Employees:
No. of Parking
Stalls:
Daily No.
Customers/Visitors
Weekly Truck
Traffic:
Outside
Storage?
Yes
No
Outside Machinery/
Mechanicals?
Yes
No
Exceeds 40,000 sq. ft.?
Yes No
If yes, constitutes a large or group development. See Questionnaire.
FOR
OFFICE
USE:
PUBLIC HEARING NOTICE TO ALL WITHIN 300 FT
PUBLISH PUBLIC HEARING NOTICE TWICE, ONE WEEK APART, AT LEAST 10 DAYS PRIOR TO PUBLIC HEARING
RECORD AT COUNTY
MAILING
DATE:_________________________
TEMPORARY USE PERMIT (Reviewed by Zoning Administrator)
SITE PLAN ATTACHED
Current Use of Property and
Type of Business (if applicable):
Proposed Use of Property and Type
of Business (if applicable):
Dates of Temporary Use:
Start Date:
End Date:
Proposed Hours of
Operation:
No. of
Employees:
No. of Parking
Stalls:
Daily No.
Customers/Visitors
Weekly Truck
Traffic:
Outside
Storage?
Yes
No
Outside Machinery/
Mechanicals?
Yes
No
FOR
OFFICE
USE:
NO PUBLIC HEARING REQUIRED
IF OVER 6 MONTHS, RECORD AT COUNTY
ZONING AMENDMENT (Reviewed by Plan Commission & Common Council)
SITE PLAN/MAP ATTACHED
STATEMENT OF JUSTIFICATION ATTACHED
Proposed Use of
Property:
Proposed
Zoning:
Proposed Hours
of Operation:
No. of
Employees:
No. of Parking
Stalls:
Property contains
wetlands and/or
floodplain?
Yes No
If yes, explain:
Overlay District?
Yes
No
If zoning is changed, do you need a Conditional Use Permit
for the proposed use?
Yes
No
FOR
OFFICE
USE:
PUBLIC HEARING NOTICE TO ALL WITHIN 300 FT
PUBLISH PUBLIC HEARING NOTICE TWICE, ONE WEEK APART, AT LEAST 10 DAYS PRIOR TO PUBLIC HEARING
RECORD AT COUNTY
MAILING
DATE:_________________________
VARIANCE (Reviewed by Board of Zoning Appeals)
SITE PLAN ATTACHED
STATEMENT OF JUSTIFICATION ATTACHED
FOR
OFFICE
USE:
PUBLIC HEARING NOTICE TO ALL WITHIN 100 FT
PUBLISH PUBLIC HEARING NOTICE 10 DAYS BEFORE BOARD OF ZONING APPEALS MEETING
MAILING
DATE:_________________________
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Land Use Application All Land Use Applications should (City of Portage)

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Completed 14 July 2020

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