P a g e | 1 Oct 2019
PUD / TND
Concept Plan
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): ___________________ Application Taken by: ___________
Case Number: _________________ Meeting Date: _________________
MPN Project Number: _______________
Please Print or Type (all entities listed below will be copied on all comments)
1. Type of application: PUD TND
2. Submittal: New Revised (provide case #) _____-__-__
3. Type of revision: Major Use Change Major Site Change Minor Change
4. Applicant Name and Title: __________________________________________________________
Email Address: __________________________ Daytime Phone Number: ____________________
Business (if applicable): ____________________________________________________________
Address: ____________________________ City: ____________ State: _________ ZIP: _________
5. Developer (if applicable): ___________________________________________________________
Email Address: ___________________________________________________________________
6. Name of Property Owner: __________________________________________________________
Email Address: __________________________ Daytime Phone Number: ____________________
Address: _________________________ City: _______________ State: _________ ZIP: _________
7. Subject Property Information:
CPPC Lot ID#(s): __________________________________________________________________
Lot #(s): _____________________________ Block/Square: _______________________________
Subdivision or Tract Name: _________________________________________________________
Nearest Intersection: ______________________________________________________________
8. Specific proposed use as described in proposed development narrative:
________________________________________________________________________________
9. Size of the property: _______________________________________________________________
10. Number of proposed Lots or Tracts: __________________________________________________
11. Average size of proposed Lots or Tracts: _______________________________________________
12. Action Requested: Rezoning
To rezone from ____________ to _______ Acres: _____________________________
____ Applicant Initials
Date Received ______________
P a g e | 2 Oct 2019
13. Table of Uses:
Low Density
Residential
Medium
Density
Residential
High
Density
Residential
Commercial
/ Office
Industrial
Open
Space
Total # of
Units
N/A
N/A
N/A
Total Square
Feet of
Buildings
Total
Acreage
Percentage
of Site
14. Access:
Private Street Public Street (City-Parish) Public Street (State)
15. Stormwater Management Plan:
Submitted Not Submitted If not submitted please explain:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
16. Drainage Impact Study:
Submitted Not Submitted If not submitted please explain:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
17. Water Quality Impact Study:
Submitted Not Submitted If not submitted please explain:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
18. Compliance with Development Review Committee and/or Departments of Development and
Transportation and Drainage comments will be required prior to approval: Acknowledgment
___________________________________________________________________________
____ Applicant Initials
P a g e | 3 Oct 2019
19. Acknowledgement:
I acknowledge that private deed restrictions or covenants may exist on the subject property. I
recognize that neither the Planning Commission nor its staff may consider such deed restrictions
or covenants, if any, when determining approval or denial of an application, nor can the City or
Parish enforce private deed restrictions or covenants. It is my responsibility as an Applicant to
determine if any such deed restrictions and covenants exist on the subject property, and to be
aware that violations of the same subject me and/or Property Owner to litigation from others.
I understand that the application fee is nonrefundable. (Applications must be received by
10:00a.m. on the scheduled Application Deadline.)
Application must be signed by both applicant and property owner if different. Letter of
authorization must be submitted in absence of the property owner’s signature or where an
authorized agent signs in lieu of either property owner or applicant.
Signature of Applicant Type or Print Name of Applicant Date
Signature of Property Owner Type or Print Name of Property Owner Date
click to sign
signature
click to edit
P a g e | 4 Oct 2019
Staff Use Only
A. Land Use Classification(s): __________________________________________________________
B. Zoning Classification(s): ____________________________________________________________
C. Existing Land Use(s): ______________________________________________________________
D. Surrounding Land Use(s): ___________________________________________________________
E. Surrounding Land Use Classification(s): ________________________________________________
F. Surrounding Zoning Classification(s): _________________________________________________
G. Proposed Land Use: _______________________________________________________________
H. Comprehensive Plan: Consistent Not Consistent
I. Planning District/Sub Area: _________________________________________________________
J. Census Tract: ____________________________________________________________________
K. Lot and Block:____________________________________________________________________
L. Council District: 1 2 3 4 5 6 7 8 9 10 11 12
M. DRC and/or Departments of Development and Transportation and Drainage Compliance:
No Yes If “No” explain: ________________________________________________
_______________________________________________________________________________
N. Stormwater Management Plan (SMP):
No Yes If “No” explain: ________________________________________________
_______________________________________________________________________________
O. Drainage Impact Study (DIS):
No Yes If “No” explain: ________________________________________________
_______________________________________________________________________________
P. Water Quality Impact Study (WQIS):
No Yes If “No” explain: ________________________________________________
_______________________________________________________________________________
Q. Complete Check List: No Yes
R. Comments:______________________________________________________________________
___________________________________________________________________________________
S. Is subject property within Zone of Influence (Zachary, Central, BREC or Health District)? If so,
contact as needed.
No Yes date correspondence sent: _________________
T. Is subject property located on MoveBR? If so, contact as needed.
No Yes date correspondence sent: _________________
U.
Planning Director or Authorized Signature Date