1 of 2 (ZA)
TOWN OF SUPERIOR
199 N. Lobb Avenue
P.O. Box 218
Superior, AZ 85173
(520) 689-5752
APPLICATION FOR ZONE AMENDMENT
Application No.:____________ Date Received:___________ Fee: $ 500.00 for Zoning Text
Change, $500.00 + $20.00 per ac. Map Change, $1,000.00 deposit plus actual cost for PD Zone.
Receipt No.:___________________ Received by:_____________________________________
In order to expedite processing of this request for a Zoning Amendment, and to eliminate
unnecessary delays to the applicant, the Zoning Administrator will not accept this application
unless all items have been checked off, and this application form has been signed and dated.
In the event errors or omissions are discovered, the application will be deemed incomplete, and
will be returned to the applicant for revision.
APPLICATION IS HEREBY MADE TO THE ZONING ADMINISTRATOR THAT:
Property Owner: (Attach sheet if more than one property owner.)
Name:____________________________________ Phone No.: ____________________
Address: __________________________________ Cell No.:______________________
City:_____________________________________ State:________ Zip: ____________
Applicant: (Attach sheet if more than one applicant.)
Name:____________________________________ Phone No.:_____________________
Address:__________________________________ Cell No.:______________________
City:_____________________________________ State:________ Zip:_____________
BE GRANTED A ZONE CHANGE ON PROPERTY LOCATED AT:
Property Address or Location: _____________________________________________________
______________________________________________________________________________
Assessor’s Parcel Number(s):______________________________________________________
______________________________________________________________________________