TEXT AMENDMENT APPLICATION
PLEASE COMPLETE FRONT AND BACK PAGES
Applicant:
Applicant’s Representative (if applicable):
Name
Name
Company (If Applicable)
Company (If Applicable)
Address
Address
Address
Address
Telephone #
Fax #
Telephone #
Fax #
Email:
Email:
Applicant’s Status (Indicate one):
City Official (Mayor, City Councilor, Planning Commissioner, Zoning Administrator)
Private Party (Financial, contractual, or proprietary interest)
Other Governmental Interest (Jurisdiction: )
The undersigned hereby requests to be placed on the Agenda for the Planning and Zoning
Commission meeting at 6:30 P.M. on Monday, , 20 .
Applicant’s Signature
Applicant’s Representative’s Signature
Date
Date
CREVE COEUR
300 North New Ballas Road
Creve Coeur, Missouri 63141
(314) 872-2500/872-2501
Fax (314) 872-2505
Relay MO 1-800-735-2966
www.creve-coeur.org
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signature
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signature
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Description of Request (attach additional sheets as needed):
Affected Section(s) of the Zoning or Subdivision Code:
Proposed Ordinance Language (attach additional sheets as needed):
Office Use Only
____ Proposed Ordinance Language
Received By:
____ Fees Paid
____ Written Justification
Date:
Jason Jaggi, AICP, Director of Community Development
Whitney Kelly, AICP, City Planner
Jessica Stutte, Administrative Assistant (314)872-2501 Revised: 5/20