VILLAGE OF BURR RIDGE
PETITION FOR PUBLIC HEARING
PLAN COMMISSION/ZONING BOARD OF
APPEALS
GENERAL INFORMATION (to be completed by Petitioner)
PETITIONER (All correspondence will be directed to the Petitioner): _____________________________________________
STATUS OF PETITIONER: _______________________________________________________________________________
PETITIONER'S ADRESS: _________________________________________________________________________________
ADDRESS OF SUBJECT PROPERTY: ______________________________________________________________________
PHONE: _______________________________________________________________________________________________
EMAIL: ________________________________________________________________________________________________
PROPERTY OWNER: ____________________________________________________________________________________
PROPERTY OWNER'S ADDRESS: ________________________________ PHONE: _________________________________
PUBLIC HEARING REQUESTED: _____ Special Use _____ Rezoning _____ Text Amendment _____ Variation(s)
DESCRIPTION OF REQUEST:
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
PROPERTY INFORMATION (to be completed by Village staff)
PROPERTY ACREAGE/SQ FOOTAGE: ___________________________ EXISTING ZONING: ____________________________
EXISTING USE/IMPROVEMENTS: ______________________________________________________________________________
SUBDIVISION: _______________________________________________________________________________________________
PIN(S) #_____________________________________________________________________________________________________
The above information and the attached Plat of Survey are true and accurate to the best of my knowledge. I understand the information
contained in this petition will be used in preparation of a legal notice for public hearing. I acknowledge that I will be held responsible
for any costs made necessary by an error in this petition.
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Petitioner’s Signature Date of Filing