1 Olde Half Day Road, Lincolnshire, IL 60069
www.lincolnshireil.gov
P: 847-883-8600
F: 847-883-8608
Page 1 of 6
STAMP HERE
PLANNING & ZONING APPLICATION
GENERAL INFORMATION
Property Address (including lot/suite #):
PIN(s):
Applicant Name (name of individual/company):
Email:
Applicant Address:
City:
Zip Code:
Phone:
Fax:
APPLICATION REQUEST(S) (check all that apply)
Amendment Map
(Rezoning)
New Structure/
Development
Special Use / PUD
Major Amendment
Amendment Text
(Village Code)
Sign(s) New
Special Use / PUD
Minor Amendment
Annexation New
Sign(s) Modifications
Subdivision In-Village
Annexation
Agreement Amendment
Sign(s) Variance Subdivision Out-of-Village
Appeal of Administrative
Decision
Special Use / PUD
New
Zoning Variance
Modification to Building/
Site
Other
DESCRIPTION OF REQUEST(S)
Planning & Zoning Application Village of Lincolnshire, IL
Community & Economic Development
1 Olde Half Day Road, Lincolnshire, IL 60069
www.lincolnshireil.gov
P: 847-883-8600
F: 847-883-8608
Page 2 of 6
CONTACT INFORMATION
Owner Information (if different than applicant)
Name:
Company:
Email:
Address (including suite #):
City: State: Zip Code:
Phone:
Cell:
Fax:
Attorney Information
Name:
Company:
Email:
Address (including suite #):
City:
State:
Zip Code:
Phone:
Cell:
Fax:
Architect Information
Name:
Company:
Email:
Address (including suite #):
City:
State:
Zip Code:
Phone:
Cell:
Fax:
Landscape Architect Information
Name:
Company:
Email:
Address (including suite #):
City:
State:
Zip Code:
Phone:
Cell:
Fax:
Engineer/Land Surveyor Information
Name:
Company:
Email:
Address (including suite #):
City:
State:
Zip Code:
Phone:
Cell:
Fax:
Planning & Zoning Application Village of Lincolnshire, IL
Community & Economic Development
1 Olde Half Day Road, Lincolnshire, IL 60069
www.lincolnshireil.gov
P: 847-883-8600
F: 847-883-8608
Page 3 of 6
APPLICANT/OWNER ACKNOWLEDGEMENTS
The Applicant(s) and Owner(s) do hereby certify, acknowledge, and affirm that:
1. I (We) have carefully and fully read this application, and all of the statements contained in this
application packet are true.
2. I (We) fully understand and agree to comply with the terms and provisions outlined in this
application and the Lincolnshire Village Code
.
3. I (We) agree to pay all applicable filing fees per the Comprehensive Fee Schedule and assume
responsibility for the payment of all reimbursable expenses associated with the processing of this
application and request(s).
4. I (We) understand all application fees are non-refundable and cover up to two (2) staff reviews
and/or up to two (2) meetings by the Village Board or applicable advisory boards. If additional
reviews are required, supplemental application fees, equal to the amount of the original application
fees, must be paid before proceeding to the next step in the approval process.
5. I (We) understand I (we) have one (1) year from the application submittal to complete the Village
approval process. If no extension is sought by the Applicant or granted by the Village Board, the
application will be invalidated and I (we) will need to submit a new application/application fees and
comply with the Lincolnshire Village Code.
Name of Applicant
Signature of Property Owner (if different)
Signature of Applicant
Signature of Property Owner (if different)
Date
Date
REQUIRED MATERIALS
The materials identified below must be included with the Application. Incomplete submittals will not be
accepted. Prior to submitting an application packet, a meeting with the Village staff is recommended.
Letter of Request: The Applicant must provide a letter to the appropriate review bodies (i.e., Mayor
and Board of Trustees, Chair and Members of the Architectural Review Board, and/or Chair and
Members of the Zoning Board) with this application describing the request(s) and outlining the
reason(s) for the request(s).
Legal Description: The legal description of all subject properties must be submitted in an accurate
and legible” x 11” paper as well as electronic formats.
Plat of Survey: An accurate Plat of Survey prepared by a registered land surveyor or professional
engineer.
Application Fee(s): See page 4 of this application.
Escrow Account Deposit: See page 4 of this application.
Accompanying Documents Identified in Information Packet (if necessary)
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
Planning & Zoning Application Village of Lincolnshire, IL
Community & Economic Development
1 Olde Half Day Road, Lincolnshire, IL 60069
www.lincolnshireil.gov
P: 847-883-8600
F: 847-883-8608
Page 4 of 6
DEVELOPMENT REVIEW FEE SCHEDULE
For an application to be placed on a meeting agenda, cash or check payment in the amount equal to the
total application fees plus the required initial escrow account deposit for each request must accompany
the application. Checks can be made payable to “Village of Lincolnshire”.
The escrow account system provides immediate funds for payment of actual in-house and third-party
expenses incurred by the Village as a result of processing the application
per Section 1-8D-1 of the
Lincolnshire Village Code. The cash advance account is established based on the estimated costs for
services to be rendered. If the actual costs for the services exceed the amount of the initial deposit, the
applicant will be required to replenish the account upon request.
Any funds remaining in the account at
the completion of the project will be refunded to the applicant.
REQUEST APPLICATION FEE
ESCROW ACCOUNT
INITIAL DEPOSIT
Escrow Administrative Fee (All Requests):
- Initial escrow deposits less than or
equal to $1,000
- Initial escrow deposits greater than
$1,000
$50
$75
Annexation $500/acre $1,500
Appeal to Administrative Decision $250 $500
Architectural Review Board:
- Minor Improvement(s)
- Major Improvement(s)
$250
$500
$500
$500
Development Review Team Fee:
- Per acre
- Minimum charge
- Shall not exceed
$100
$150
$2,500
Planned Unit Development:
- New
- Major amendment
- Minor amendment
$2,000
$500
$250
$4,000
$1,500
$500
Site Development Plan Amendment $250 $500
Special Use:
- New
- Major amendment
- Minor amendment
$750
$500
$250
$1,500
$1,000
$500
Subdivision*
*Additional Acreage Impact and Donation Fees
may be required. Please refer to
the
Subdivision Supplemental Information
Packet.
$1,000 $3,000
Supplemental Application Fee
Equal to original application fee
Variance (Zoning & Sign) $500 $1,000
Zoning Map Amendment (Rezoning) $750 $1,000
Zoning Text Amendment $750 $1,000
Planning & Zoning Application Village of Lincolnshire, IL
Community & Economic Development
1 Olde Half Day Road, Lincolnshire, IL 60069
www.lincolnshireil.gov
P: 847-883-8600
F: 847-883-8608
Page 5 of 6
BENEFICIARY DISCLOSURE FORM (LAND TRUSTS)
For any property held in a land trust, all beneficiaries of the trust must be identified by name, address,
and interest in the subject property. In addition, the application must be verified by the trustee or
beneficiaries. In the event the beneficiary of land trust is a corporation, the corporation shareholders
must be identified.
Beneficiary #1
Name:
Email:
Address:
City:
Zip Code:
Phone:
Fax:
Beneficiary #2
Name:
Email:
Address:
City: State: Zip Code:
Phone:
Fax:
Please list additional beneficiaries on a separate sheet of paper, if needed.
SUBSCRIBED AND SWORN TO ME before this ________ day of ________________, 20
(SEAL)
Notary Public
SUBSCRIBED AND SWORN TO ME before this ________ day of ________________, 20
(SEAL)
Notary Public
State of _________________
County of ________________
Planning & Zoning Application Village of Lincolnshire, IL
Community & Economic Development
1 Olde Half Day Road, Lincolnshire, IL 60069
www.lincolnshireil.gov
P: 847-883-8600
F: 847-883-8608
Page 6 of 6
PUBLICATION NOTIFICATION FOR PUBLIC HEARINGS
Applications for Special Use, Planned Unit Development, Zoning Map Amendment (Rezoning), Zoning
Text Amendment, and Zoning/Sign Variance must provide public notification of the public hearing. The
Applicant must obtain a list of all owners of record for all lots adjacent to the property for which the
application has been filed (the notification radius is 250 feet for subject properties smaller than 3 acres
and 500 feet for subject properties 3 acres or larger). The adjacent owner information, including the
name, address, and property index number, for the applicable notification radius is available on Lake
County’s online mapping portal (maps.lakecountyil.gov/mapsonline/). Village staff can provide
instructions for using this tool.
Staff will also provide the applicant with an electronic copy of the public hearing notice and location map
for use in mailing. The applicant will be required to send such notices by first-class, certified or
registered mail, no more than 30 calendar days nor less than 15 calendar days in advance of the Public
Hearing. Upon completion of the public notification mailings, a sworn affidavit (see below) verifying the
mailing occurred shall be filed with the Community & Economic Development Department no less than
four business days in advance of the Public Hearing.
NOTIFICATION OF PUBLIC HEARING AFFIDAVIT
I, , hereby certify under penalty of perjury as follows:
1. That on the day of , 20 _, such day being not less than ____ days
before the hearing so described, affiant caused to be mailed, through first-class, certified or
registered mail, in the Post Office of __________________________, copies of the attached Notice
of Public Hearing to the owners, as recorded in the office of the recorder of deeds or the registrar of
titles of the county in which the property is located and as appears from the authentic tax records of
such county, of all property within ________ feet in each direction of the location for which the
application has been filed, located at ____________________________, and to the owners, or
representatives, of property listed as exempt.
2. That the parties to whom said notice was mailed are set forth on the attached list (attach list to this
affidavit).
Signature
SUBSCRIBED AND SWORN TO ME before this ________ day of ________________, 20
(SEAL)
Notary Public
State of ________________________
County of _______________________
click to sign
signature
click to edit