_____________________________________________________________________________
DEPARTMENT OF COMMUNITY DEVELOPMENT
PLANNING AND ZONING
USE REQUEST FORM
DATE: _______________________________________________________________________
REQUESTOR NAME: ___________________________________________________________
REQUESTOR MAILING ADDRESS: _______________________________________________
EMAIL: ______________________________________________________________________
TELEPHONE NO: ______________________________________________________________
ADDRESS OF SITE: ____________________________________________________________
FOLIO: ______________________________________________________________________
CURRENT USE: ________________________________________________________________
PROPOSED USE: ______________________________________________________________
FOR OFFICE USE ONLY
CURRENT ZONING: __________________________________________________________________
IS THE USE PERMITTED? YES NO
STAFF SIGNATURE ___________________________________________________________________
Please mail or fax document to:
Town of Cutler Bay
Attention: Community Development Department
10720 Caribbean Boulevard, Suite 105
Cutler Bay, FL 33189
Fax: 305-234-4251
Town of Cutler Bay | 10720 Caribbean Boulevard, Suite 105 | Cutler Bay, FL | www.cutlerbay-fl.gov