SUMNER COUNTY REGIONAL PLANNING COMMISSION
355 North Belvedere Drive, Gallatin, Tennessee 37066
OFFICE (615)451-6097 FAX (615)451-6074
REZONING APPLICATION
Applicant’s Name
Applicant’s Mailing Address
City
State
Zip
Phone Number
Fax Number
The applicant is responsible for notifying the Planning Department if any contact information has changed.
PLEASE COMPLETE THE FOLLOWING PROPERTY INFORMATION:
Property Owner (If different from Applicant)
Property Address
City
State
Tennessee
Zip
Tax Map
Group
Parcel
Size of Parcel
Deed Book
Page
Present Zoning of Property
Zoning Designation Requested
Present Use of Property
Do you wish to rezone the entire parcel? YES NO
If No, how much of the property do you wish to rezone?
NOTE: If you wish to rezone less than the entire parcel, a legal description will be required along with this
application. If the rezoning is approved, a subdivision plat will be required prior to being able to use the
property under the new zone.
Please contact the county commissioners where the property is located and inform them of your proposal
County Commissioners Phone Numbers
Date Contacted
PLEASE COMPLETE THE FOLLOWING PROPOSED USE INFORMATION:
A Concept Plan drawn to scale showing all existing and proposed buildings, septic system and field line
areas, driveways, proposed parking areas, building setbacks, and any other pertinent information
regarding the application must be submitted with this form. In addition to a concept plan you should
submit maps, drawings, and data necessary to demonstrate that the proposed amendment is in general
conformation with the adopted land use plan.
Explain in detail what you propose to do with this property and outline your long term plans for the
property. Refer to the purpose statement of the zoning district for which you are requesting and explain
how your project will fit within the description of that district.
LLegal Status of Property (Under Contract, Option, Fee Simple Etc
I hereby certify that the information contained in this application is true and correct to the best of my knowledge
and belief.
Applicant’s Signature
Applicant’s Name (Printed)
Date
PLEASE INITIAL THE FOLLOWING POLICIES STATEMENTS TO INDICATE THAT YOU HAVE READ AND UNDERSTAND THEM:
Please note that this is the first step to completing your rezoning request. In almost every circumstance, a
professionally engineered site plan meeting the requirements of the Commercial Planned Unit
Development section of the County Zoning Ordinance will have to be submitted and reviewed by
the Planning Commission before any building permits are issued. All buildings must comply with applicable
Federal, State and local codes. Please Contact the Building Codes Department at (615) 452-1467 with
questions about the building permit application process, inspections, fees, etc.
Applicants Initials____________
Applicant Deferral/Withdrawal Policy: It is the policy of the Planning Commission that any requests to
defer their consideration of a rezoning application be submitted to the Planning Director in writing prior
to the scheduled public hearing. If an applicant requests deferral or withdrawal after processing
has begun, fees are non-refundable. Applicants requesting a deferral will be charged the cost of
preparing and mailing new notices of public hearing. Applicants may not defer an application
for a period exceeding three (3) months from the original Planning Commission public hearing
date of said application. Any application not considered before the three (3) month deferral
timeframe will be required to submit a new application, along with any required fees, and will be
subject to the regulations in effect at that time.
Applicants Initials____________
Commission Deferment/ Denial Policy: When an applicant or their representative is not present at
the regularly scheduled meeting of the Planning Commission, the Planning Commission shall defer said
application to their next scheduled meeting. If the applicant or their representative fails to be present at
the next meeting, then the Planning Commission shall deny the application.
Applicant's Initials____________
The Board, its members, and employees, in the performance of their work, may enter upon any land
within its jurisdiction and make examinations and surveys and place or remove public notices as
required by the Zoning Ordinance.
Owner's Initials____________ Applicant's Initials (If Different) ____________
CHECKLIST
Before we can accept your rezoning application, please make sure you have all the items listed below:
A completed application $500 application fee.
A copy of the deed to the property A concept plan drawn to scale, drawings, etc.
A Letter of Attorney-in-Fact if submitted by
anyone other than the current land owner.
STAFF USE ONLY
Accepted by
Receipt Number
Date:
:
:
Sign Fee: $25 for 1st Sign
$15 for Each Additional