Updated 11/1/19
Planning and Zoning Application Form
For Staff
Use Only
Received by:
Date Received:
Fees Received:
Case Planner:
Case No. :
Pre-Appl.
Case No.
Application Type - Check applicable box:
General Plan Amendment
Rezoning
Zoning Text Amendment
Administrative Variance
Dimensional Variance
Use Variance
Conditional Use Permit (CUP)
Deviation from Standards
Planned Development
Zoning Confirmation
WCFs
OAS Variance(s)
APPLICANT INFORMATION
Contact Name:
Contact Email:
SITE AND PROJECT INFORMATION
Project Name:
Project Address and Location:
Proposed Use of the Site (e.g. Shopping Center, Day Care Facility, etc.):
Building Size (square feet):
Site Size (acres and square feet):
Name of landowner(s) or master lessor (If land is leased, include master lease number):
Current Zoning District:
Current General Plan designation:
Current land use:
Applicant Signature
Date
Landowner/Lessee Signature(s)
Date
Community Development Department
PLANNING SERVICES DIVISION
10,005 E. Osborn Road, Scottsdale, AZ 85256
Telephone: (480) 362-7600 Fax: (480) 362-7714
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signature
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signature
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