Fillable Required Documentation for Zoning Request Legal Description of (CITY OF PIEDMONT)

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Required Documentation for Zoning Request Legal Description of (CITY OF PIEDMONT)

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City of Piedmont
Zoning Application
Required Documentation for Zoning Request
Items required to include with application:
□ Legal Description of property to be rezoned, including the deed or survey.
□ Fee based on Fee Schedule
□ Certified list of all property owners within a 300’ radius of the property to be rezoned. The list shall be current
and certified by a registered professional engineer, a registered land surveyor, an attorney, or a bonded
abstractor. Responsible party must complete the attached Affirmation.
□ Map of area to be rezoned, no larger than 8.5” x 11”
□ If a representative is making the request to rezone on behalf of a property owner, a letter of authorization from
the property owner(s) must be submitted indicating their desire to rezone and who is to represent them in this
matter.
Applicant Name: ____________________________________ Applicant Phone Number: __________________________
Applicant Address: __________________________________________________________________________________
If Applicant is not the property owner, check here: ☐
Name(s) of Property Owner: ___________________________________________________________________________
Address of Property Owner: ___________________________________________________________________________
Phone Number(s) of Property Owner(s): _________________________________________________________________
Address/Legal Description of property to be rezoned: ______________________________________________________
__________________________________________________________________________________________________
Current Zoning District: ________________ Requested Zoning District: ________________
Proposed Use of Land: _______________________________________________________________________________
All payments are non-refundable and must be submitted at the time of application submittal.
Check one of the following:
Straight Zoning
☐ $500 (up to and including 5 acres)
☐ $800 (over 5.001 acres- 9.99 acres)
☐
$1,250 (10 acres or higher)
PUD Zoning
☐ $1,000 (10 acres or less)
☐ $1,350 (between 10.01 and 40 acres)
☐
$1,650.00 (40.01 acres or more)
STAFF MAY ASK FOR ADDITIONAL INFORMATION. PLEASE CONTACT THE COMMUNITY DEVELOPMENT DEPARTMENT FOR ANY ADDITIONAL QUESTIONS.
Staff Use Only
Date Filed: ______________________
PC Meeting Date: ________________
CC Meeting Date: ________________
Date Letters Mailed to Adjacent Property Owners: ________________________________________________________
Date Notice Sent to Paper/Published: ___________________________________________________________________
Filing Fee: $_____________________
______________________________________________
Community Development
AFFIRMATION
STATE OF OKLAHOMA ) COUNTY OF
OKLAHOMA )
I affirm that the ownership list submitted as a part of this application contains the names of all owners
of record of property which are within 300 feet (or greater if required) of the property described in the
attached exhibit.
Executed in __________________, Oklahoma, on the ________ day of ____________, 20 _____.
Signature of registered professional engineer,
registered land surveyor, attorney or bonded
abstractor (Zoning Ordinance, Ch. 9-1, Sec. 4)
Executed in __________________, Oklahoma, on the ________ day of ____________, 20 _____.
Signature of Applicant
Subscribed and sworn before me, a Notary Public, in and for the State of
, County of , on the day of , 20 . My
Commission Expires:
Notary Public
Commission # _____________________________
Effective 6/18/2018
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Required Documentation for Zoning Request Legal Description of (CITY OF PIEDMONT)

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Completed 14 July 2020

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