Revised 10/2017
www.greenbaywi.gov
REQUEST FOR CITY ACTION
PLAN COMMISSION
Department of Community
and Economic Development
100 N. Jefferson Street, Rm 608
Green Bay, WI 54301-5026
(920) 448-3400 - phone
(920) 448-3426 - fax
Date:
Petitioner(s): Phone Number:
Address: City: State: Zip Code:
Property Owner: Phone Number:
Parcel Numbers (required):
Location of Property:
Attach maps and legal descriptions (required) and submit
to the Dept. of Community and Economic Development, Room 608, City Hall
To: Honorable Mayor and Common Council, c/o City Clerk
I, , respectfully request that the City of Green Bay take the
following action:
Attach Zoning Petition Form with first three items.
Rezone Property ($300.00 Review Fee)
Conditional Use and CUP Amendment, including Single Lot Duplexes ($300.00 Review Fee)
PUD and PUD Amendments ($350.00 Review Fee)
Approve Preliminary City/Extraterritorial Subdivision Plat ($150.00 plus $35.00 per Lot/Outlot Review Fee)
Approve Preliminary City/Extraterritorial Certified Survey Map ($150.00 Review Fee)
Approve Final City/Extraterritorial Subdivision Plat ($100.00 Review Fee)
Grant a City/Extraterritorial Subdivision/CSM Variance ($150.00 Review Fee)
Grant a Postponement of Development Fees ($100.00 Review Fee) [Review by I&S and/or Park Committees}
Development District Map Amendment ($200.00 Administration Fee)
Official Map/Area Development Plan Amendment ($200.00 Administration Fee)
Plat of Right-of-Way ($200.00 Administration Fee)
Discontinue a Public Utility Easement ($200.00 Administration Fee)
Street Name Change ($200.00 Administration Fee)
Declare City Property “City Surplus” ($200.00 Administration Fee)
Vacate a Street/Alley/Pedestrian Way ($200.00 Administration Fee)
Other ($200.00 Administration Fee):
Petitioner Signature(s):
Review Fee: Receipt No.: Zoning Petition No.:
Briefly describe action desired, noting the property affected and all other pertinent information.
Attach maps and legal descriptions (required).
Please contact the Dept. of Community and Economic Development in Room 608, City Hall, (920) 448-3400, if you have any questions.
