Fillable Planning Commission Approval Application (City of Gulfport Mississippi)

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Planning Commission Approval Application (City of Gulfport Mississippi)

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The Planning Commission Approval Application (City of Gulfport Mississippi) form is 2 pages long and contains:

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U.S.A. forms for City of Gulfport Mississippi

BROWSE CITY OF GULFPORT MISSISSIPPI (MS) FORMS

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Revision date 11/20/19
Page 1 of 4
If the property or properties listed above have more than one owner, please check this box. In the case
of multiple owners, reverse side must be completed. Each additional owner will need to complete
and sign the reverse side of this application. We can only accept applications with original signatures.
SECTIONS A. THROUGH G. MUST BE SUBMITTED FOR A COMPLETE APPLICATION.
CITY OF GULFPORT
Urban Development - Planning Division
1410 24th Avenue
Gulfport, MS 39501
(228) 868-5710
APPLICATION FOR
PLANNING COMMISSION APPROVAL
GENERAL DESCRIPTION OF REQUEST:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
___________________________________________________
OWNERSHIP AND CERTIFICATION:
I hereby certify that I have read and understand this application and that all information and attachments are true
and correct. I also certify that I agree to comply with all applicable city codes, ordinances and state laws.
Finally, I certify that I am the owner of the property involved in this request or have authorization to act as the
owner’s agent for the herein described request.
OWNER
____________________________________
Printed Name of Owner
____________________________________
Mailing Address
____________________________________
City State Zip code
____________________________________
Home Phone Work/Cell Phone
____________________________________
Email
__________________________________________________
Signature of Owner
AGENT
____________________________________
Printed Name of Agent
____________________________________
Mailing Address
____________________________________
City State Zip code
____________________________________
Home Phone Work/Cell Phone
____________________________________
Email
__________________________________________________
Signature of Agent
For Staff Use Only
Case Number:_________________
Date Received:________________
Receipt Number:_______________
Received By:__________________
Zoning: ______________________
Ward: ________Flood:__________
Size:_________________________
Property Information
TAX PARCEL #
(If necessary, use separate sheet of paper)
Address of Property Involved:_______________________________________________________________
Lot(s)______________, Block(s)_______________, Subdivision___________________________________
General Location:_________________________________________________________________________
Revision date 11/20/19
Page 2 of 4
This page must be completed if the property or properties involved have more than one owner. All
persons listed as owners to the property or properties listed on page one must complete and sign this part
of the application.
I hereby certify that I have read and understand this application and that all information and attachments
are true and correct. I also certify that I agree to comply with all applicable city codes, ordinances and
state laws. Finally, I certify that I am the owner of the property involved in this request or authorized to
act as the owner’s agent for herein described request.
NAME OF OWNER (PRINT)
ADDRESS (STREET, CITY, STATE, ZIP CODE)
PHONE # (H) (W)
TAX PARCEL NUMBER(S) OWNED
SIGNATURE:
NAME OF OWNER (PRINT)
ADDRESS (STREET, CITY, STATE, ZIP CODE)
PHONE # (H) (W)
TAX PARCEL NUMBER(S) OWNED
SIGNATURE:
NAME OF OWNER (PRINT)
ADDRESS (STREET, CITY, STATE, ZIP CODE)
PHONE # (H) (W)
TAX PARCEL NUMBER(S) OWNED
SIGNATURE:
(Use additional forms as needed)
IN CASES OF MULTIPLE APPLICANTS, PLEASE IDENTIFY THE PERSON WHO WILL BE ACTING AS YOUR SPOKES
PERSON/AGENT FOR YOU:
Revision date 11/20/19
Page 3 of 4
IMPORTANT NOTICE
1. Please be advised that failure to submit a complete
application, with all supporting documents, could delay
your hearing date. The Planning Commission will not
consider a request until all information is submitted and
accurate.
2. Please be advised that the application deadline dates
posted are designed to allow the staff time to review the
application and receive required comments from
coordinating agencies. The application is not considered
complete until all required information from the
applicant is available for review by the staff and
coordinating agencies.
3. Please see reverse of this sheet to determine the
deadline dates for filing your application.
D. If applicable, notarized proof of authority to act as
agent for owner (board resolution, etc.)
E. The City of Gulfport Planning Division Staff will
notify, by letter, property owners adjacent to the
requested action identified in this application using
the Land Roll database from the County Tax Office.
If you would like to have additional persons or
property owners notified, please provide a list of
additional persons to be notified.
F. Provide a written statement addressing the
following issues:
Explain how the site plan is appropriate with
regard to:
Transportation and access
Water supply
Waste disposal
Fire and Police protection
Other public facilities
Why the proposal will not cause undue
traffic congestion or create a traffic
hazard.
Why the proposal is in harmony with the
orderly and appropriate development of
the district in which the use is located.
G. Cash or check payable to the City of Gulfport in
the amount of $75.00.
SUBMISSION REQUIREMENTS
A. Page one of this application, completed and signed.
B. Site plan. Please note that approval of your request,
in part, is based on your site plan.
The property lines and dimensions have been
provided on the drawing.
All buildings and structures located on the
property have been identified.
All dimensions of buildings and structures have
been noted on the site plan.
All distances from the property lines to all the
buildings and structures have been identified and
noted on the site plan.
Street names have been provided which abut the
property.
Traffic flow, parking and driveways have been
identified.
Required buffer strips have been identified.
Other pertinent information as needed to
pictorially demonstrate the proposed
development/use.
C. Proof of ownership (Copy of deed or affidavit)
Revision date 11/20/19
Page 4 of 4
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Planning Commission Approval Application (City of Gulfport Mississippi)

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Completed 14 July 2020

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