Fillable Waiver PDF (City of Baton Rouge / Parish of East Baton Rouge)

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Waiver PDF (City of Baton Rouge / Parish of East Baton Rouge)

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The Waiver PDF (City of Baton Rouge / Parish of East Baton Rouge) form is 2 pages long and contains:

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  • 4 check-boxes
  • 34 other fields

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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

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_____ Applicant’s Initials P a g e | 1 October 2019
Date Received: ______________
Waiver
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: _______________________________________________________________
Email Address: ____________________________ Daytime Telephone: ___________________
Address: ____________________________ City: _____________ State: _____ ZIP: _________
Business (if applicable): _________________________________________________________
2. Developer (if applicable): ___________________________________________________________
Email Address: ___________________________________________________________________
3. Name of Property Owner: _______________________________________________________
Email Address: ___________________________ Daytime Telephone: ____________________
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 (type of development and general background): ___________________
_____________________________________________________________________________
6. Waiver(s) type: ☐ Sidewalk ☐ Sidewalk Location ☐ Alternative Parking
Specify the ordinance section and paragraph, and give justification for the requested waiver(s):
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
7. Compliance with Development Review Committee and/or Departments of Development and
Transportation and Drainage comments will be required prior to approval:
☐ Acknowledgment ____________________________________________________________
P a g e | 2 October 2019
8. 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
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October 2019
Staff Use Only
A. Land Use Classification(s): __________________________________________________________
B. Zoning Classification(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. Complete Check List: ☐ No ☐ Yes
O. Comments: ______________________________________________________________________
_______________________________________________________________________________
P. Is subject property within Zone of Influence (Zachary, Central, BRCC, or Health District)? If so,
contact as needed.
☐ No ☐ Yes – date correspondence sent: _________________
Q. Is subject property located on MoveBR? If so, contact as needed.
☐ No ☐ Yes – date correspondence sent: _________________
R.
Planning Director or Authorized Signature Date
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Waiver PDF (City of Baton Rouge Parish of East Baton Rouge)

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Completed 6 August 2020

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