Fillable Subdivision Staff Use Only City of Baton Rouge (City of Baton Rouge / Parish of East Baton Rouge)

Fill Online, Printable, Fillable, Blank Subdivision Staff Use Only City of Baton Rouge (City of Baton Rouge / Parish of East Baton Rouge) Form

Use Fill to complete blank online CITY OF BATON ROUGE / PARISH OF EAST BATON ROUGE (LA) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Subdivision Staff Use Only City of Baton Rouge (City of Baton Rouge / Parish of East Baton Rouge)

On average this form takes 15 minutes to complete

The Subdivision Staff Use Only City of Baton Rouge (City of Baton Rouge / Parish of East Baton Rouge) form is 2 pages long and contains:

  • 2 signatures
  • 13 check-boxes
  • 44 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Baton Rouge / Parish of East Baton Rouge

BROWSE CITY OF BATON ROUGE / PARISH OF EAST BATON ROUGE (LA) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
____ Applicant’s Initials P a g e | 1 October 2019
Date Received: ______________
Subdivision
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. Applicant Name and Title: _____________________________________________________
Email Address: _______________________________ Daytime Phone Number: __________
Business (if applicable): _______________________________________________________
Address: _______________________________ City: _________ State: _____ ZIP: ________
2. Developer (if applicable): ______________________________________________________
Email Address: ______________________________________________________________
3. Name of Property Owner: _____________________________________________________
Email Address: _______________________________ Daytime Phone Number: __________
Address: _______________________________ City: _________ State: _____ ZIP: ________
4. 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: _________________________________________________________
5. Specific Proposed Use: ________________________________________________________
6. Zoning District and Comprehensive Plan Land Use Designation:________________________
7. Size of property: _____________________________________________________________
8. Type of Subdivision: ☐ Five lots or less ☐ Six lots of greater ☐ Flag Lot
9. Average size of proposed lots: __________________________________________________
10. Waiver(s) requested: ☐ No ☐ Yes
If “Yes” specify the ordinance section, paragraph and justification for the requested
waiver(s):
___________________________________________________________________________
___________________________________________________________________________
11. Access: ☐ Private Street ☐ Public Street (City-Parish) ☐ Public Street (State)
If street is a State/Hwy approval is contingent upon LADOTD approval of access.
P a g e | 2 October 2019
12. Stormwater Management Plan (SMP):
☐ Submitted ☐ Not Submitted If not submitted please explain: ______________
___________________________________________________________________________
___________________________________________________________________________
13. Drainage Impact Study:
☐ Submitted ☐ Not Submitted If not submitted please explain: ______________
___________________________________________________________________________
___________________________________________________________________________
14. Water Quality Impact Study:
☐ Submitted ☐ Not Submitted If not submitted please explain: ______________
___________________________________________________________________________
___________________________________________________________________________
14. Compliance with Development Review Committee and/or Departments of Development
and Transportation and Drainage comments will be required prior to approval:
☐ Acknowledgment
15. 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.)
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
P a g e | 3 October 2019
Staff Use Only
A. Land Use Classification(s): _____________________________________________________
B. Zoning District(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. Waiver(s) Requested: ☐ No ☐ Yes
R. Complete Check List: ☐ No ☐ Yes
S. 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
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Subdivision Staff Use Only City of Baton Rouge (City of Baton Rouge Parish of East Baton Rouge)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 2 August 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document