Fillable Special Exception Application (City of Gulfport Mississippi)

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Special Exception Application (City of Gulfport Mississippi)

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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 H. 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
SPECIAL EXCEPTION
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 File #:___________________
Date Received:________________
Receipt #:____________________
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 Zoning Board and Planning Commission
will not consider a request until all information is submitted
and accurate. Your request must be approved by both
Boards.
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.
NOTE: The criteria below outlines each Board’s requirements.
Each Board does not need to be addressed separately; you may
consolidate these responses when appropriate. Keep in mind,
however; each item must be thoroughly addressed.
F. A WRITTEN STATEMENT MUST BE SUBMITTED
TO THE ZONING BOARD OF ADJUSTMENT AND
APPEALS ADDRESSING THE FOLLOWING:
Note: The uses listed below are subject to the same approval
of location and site plans as used when requiring planning
approval; in addition, these uses are declared to possess such
characteristics of unique or special form that each specific use
shall be considered an individual case and shall be subject to
approval of the Zoning Board of Adjustments and Appeals in
accordance with the provisions of section VIII governing
special exceptions.
The following, where applicable must be addressed:
Ingress and egress to property and proposed structures
thereon with particular reference to automotive and
pedestrian safety and convenience, traffic flow and
control, and access in case of fire or catastrophe.
Off-street parking and loading areas where required, with
particular attention to those items listed in the above bullet
statement and the economic, noise, glare or odor effects of
the special exception on adjoining properties and
properties generally in the district.
Refuse and service areas, with particular reference to the
two items in the above.
Utilities, with reference to the location, availability, and
compatibility.
Screening and buffering with reference to type,
dimensions and character.
Signs, if any, and proposed exterior lighting with reference
to glare, traffic safety, economic effect, and compatibility
and harmony with properties in the district.
Required yards and other open space.
General compatibility with adjacent properties and other
property in the district.
Over view of why the special exception will be in
harmony with the general purpose and intent of the Zoning
Ordinance.
G. A WRITTEN STATEMENT MUST BE SUBMITTED
TO THE PLANNING COMMISSION ADDRESSING
THE FOLLOWING:
Note: The uses listed below are permitted upon approval of
location and the site plan thereof by the Planning Commission
as being appropriate with regard to:
Transportation and access.
Water supply and waste disposal.
Fire, Police protection and other public facilities.
Not causing undue traffic congestion or creating a traffic
hazard, and as being in harmony with the orderly and
appropriate development of the district in which the use is
located.
H. 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.
If required buffer strips have been identified
The site plan must be no larger than 11”X17”
Other pertinent information as needed to pictorially
demonstrate the proposed development/use.
C. Proof of ownership (Copy of deed or affidavit)
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.
Revision date 11/20/19
Page 4 of 4
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Special Exception Application (City of Gulfport Mississippi)

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Completed 14 July 2020

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