city
of
PLANNING AND ZONING COMMISSION AGENDA APPLICATION
CONDITIONAL USE PERMIT
PLEASE COMPLETE FRONT AND BACK PAGES
Applicant:
Applicant’s Representative (if applicable):
Name
Name
Company (If Applicable)
Company (If Applicable)
Address
Address
Address
Address
Telephone #
Telephone #
Fax #
Fax #
Email:
Email:
Applicant’s Signature
Applicant’s Representative’s Signature
Property Information:
Owner’s Acknowledgement (if different from applicant):
Address
Name
Address
Company (If Applicable)
Development Name (if any)
Address
Current Zoning
Address
Telephone #
Prior CUP Approvals (if known)
Fax #
Email:
Owner’s Signature
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
Description of Requested Use (attach additional sheets as needed)
General Description of Business: ___________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Gross Floor Area Existing and Proposed:
Number of Seats (for restaurant only):
Number of Employees at the busiest shift:
Hours of Operation:
Current or Most Recent Use of the Property:
Will the applicant apply for a liquor license: Yes ________ No ________
Rationale
Please describe in detail, on an attached sheet, the reasons why you believe the request for a
conditional use permit should be approved and what steps are being taken to lessen any impacts
on surrounding residences and businesses. An explanation of the building and landscape designs
(if changes are proposed) should also be included.
Submittal Checklist
Rationale
Site plan
Access and parking plan; (may be shown on
site plan)
Landscape plan
Floor plan
Electronic copies of all materials
Building elevations for new construction
Photographs of existing structures
Materials samples
Legal Description in Word format
Fees: $250 (non-refundable)
$2000 (refundable deposit)
Other items as requested by staff
Preferred Public Hearing Date: Monday, , 20 .
**See attached schedule and confirm available meeting dates with Planning Division staff**
Received By:
Date:
Jason Jaggi, AICP, Director of Community Development
Whitney Kelly, AICP, City Planner
Jessica Stutte, Administrative Assistant (314-872-2501) Revised: 5/19