____ Applicant’s Initials P a g e | 1 October 2019
Date Received: ______________
Site Plan
City of Baton Rouge / Parish of East Baton Rouge
Office of the Planning Commission, 1100 Laurel Street, Suite 104
Baton Rouge, Louisiana 70802
Staff Use Only
Fee(s): ___________________ Application Taken by: ___________
Case Number: _________________ Meeting Date: _________________
MPN Project Number: _______________
Please Print or Type (all entities listed below will be copied on all comments)
1. Type of application: New Revised (SP- - )
2. Applicant Name: _______________________________________________________________
Email Address: ____________________________ Daytime Telephone: ___________________
Address: ____________________________ City: _____________ State: _____ ZIP: _________
Business (if applicable): _________________________________________________________
3. Developer (if applicable): ________________________________________________________
Email Address: ________________________________________________________________
4. Name of Property Owner: _______________________________________________________
Email Address: ___________________________ Daytime Telephone: ____________________
Address: ____________________________ City: _____________ State: _____ ZIP: _________
5. Subject Property Information:
CPPC Lot ID#(s): _______________________________________________________________
Lot #(s): ____________________________________________ Block/Square: _____________
Subdivision or Tract Name: ______________________________________________________
(If property is not subdivided, attach a complete legal description and survey map indicating
bearings and dimensions.)
Nearest Intersection: ___________________________________________________________
6. Specific Proposed Use (type of development and general background): ___________________
_____________________________________________________________________________
_____________________________________________________________________________
7. Waiver(s) requested: No Yes
If “Yes,” specify the ordinance section and paragraph, and give justification for the requested
waiver(s): ____________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____ Applicant’s Initials P a g e | 2 October 2019
8. Access:
Private Street Public Street (City-Parish) Public Street (State)
If street is State Road/Hwy approval is contingent upon LADOTD approval of access.
9. Stormwater Management Plan (SMP):
Submitted Not Submitted (If not submitted, explain) ________________________
___________________________________________________________________________
___________________________________________________________________________
10. Drainage Impact Study (DIS):
Submitted Not Submitted (If not submitted, explain) ________________________
___________________________________________________________________________
___________________________________________________________________________
11. Water Quality Impact Study (WQIS):
Submitted Not Submitted (If not submitted, explain) ________________________
___________________________________________________________________________
___________________________________________________________________________
12. Compliance with Development Review Committee and/or Departments of Development and
Transportation and Drainage comments will be required prior to approval:
Acknowledgment ____________________________________________________________
13. Parking:
Indicate formula used to calculate parking spaces for standard (Std.) and handicap (HC).
Use Parking Required Existing Proposed Total
Bldg./Phase Ratio
Std. HC Std. HC Std. HC
a. _______ _______ ____|____ ____|____ ____|____ _______
b. _______ _______ ____|____ ____|____ ____|____ _______
c. _______ _______ ____|____ ____|____ ____|____ _______
d. _______ _______ ____|____ ____|____ ____|____ _______
14. Building(s):
Existing Square Feet Proposed Square Feet Total
Building _______
Building _______
Building _______
Building _______
Total _______ _______
_____ Applicant’s Initials P a g e | 3 July 2019
15. Units per building(s):
One Two Three Other Total
Bedroom Bedroom Bedroom
Building _______
Building _______
Building _______
Building _______
Building _______
Total________ _______
16. Industrial or Manufacturing Process:
Describe any industrial or manufacturing process that will occur as a result of the proposed
rezoning. Include a description of any waste or by-product associated with the activity or
proposed means of disposal. ___________________________________________________
__________________________________________________________________________
__________________________________________________________________________
17. Acknowledgement:
I acknowledge that private deed restrictions or covenants may exist on the subject property. I
recognize that neither the Planning Commission nor its staff may consider such deed
restrictions or covenants, if any, when determining approval or denial of an application, nor
can the City or Parish enforce private deed restrictions or covenants. It is my responsibility as
an Applicant to determine if any such deed restrictions and covenants exist on the subject
property, and to be aware that violations of the same subject me and/or Property Owner to
litigation from others.
Public Hearing Items: I acknowledge that the Planning Commission makes the final decision on
the approval or denial of this application. I also recognize I do not have a right to an approval,
regardless of staff certification that the application meets ordinance requirements. A Public
Hearing is required to be held and the Planning Commission will make the decision based upon
all evidence presented at the meeting.
I understand that the application fee is nonrefundable. (Applications must be received by
10:00a.m. on the scheduled Application Deadline.)
P a g e | 4 July 2019
Application must be signed by both applicant and property owner if different. Letter of
authorization must be submitted in absence of the property owner’s signature or where an
authorized agent signs in lieu of either property owner or applicant.
Signature of Applicant Type or Print Name of Applicant Date
Signature of Property Owner Type or Print Name of Property Owner Date
click to sign
signature
click to edit
click to sign
signature
click to edit
July 2019
Staff Use Only
A. Land Use Classification(s): __________________________________________________________
B. Zoning Classification(s): ____________________________________________________________
C. Existing Land Use(s): ______________________________________________________________
D. Surrounding Land Use(s): ___________________________________________________________
E. Surrounding Land Use Classification(s): ________________________________________________
F. Surrounding Zoning Classification(s): _________________________________________________
G. Proposed Land Use: _______________________________________________________________
H. Comprehensive Plan: Consistent Not Consistent
I. Planning District/Sub Area: _________________________________________________________
J. Census Tract: ____________________________________________________________________
K. Lot and Block:____________________________________________________________________
L. Council District: 1 2 3 4 5 6 7 8 9 10 11 12
M. DRC and/or Departments of Development and Transportation and Drainage Compliance:
No Yes If “No” explain: ________________________________________________
_______________________________________________________________________________
N. Stormwater Management Plan (SMP):
No Yes If “No” explain: ________________________________________________
_______________________________________________________________________________
O. Drainage Impact Study (DIS):
No Yes If “No” explain: ________________________________________________
_______________________________________________________________________________
P. Water Quality Impact Study (WQIS):
No Yes If “No” explain: ________________________________________________
_______________________________________________________________________________
Q. Complete Check List: No Yes
R. Comments: ______________________________________________________________________
_______________________________________________________________________________
T. Is subject property within Zone of Influence (Zachary, Central, BREC, or Health District)? If so,
contact as needed.
No Yes date correspondence sent: _________________
U. Is subject property located on MoveBR? If so, contact as needed.
No Yes date correspondence sent: _________________
V.
Planning Director or Authorized Signature Date