Preferred Method of Written Correspondence
Preferred Method of Written Correspondence
Weber County Conditional Use Permit Application
Receipt Number (Office Use)
Land Serial Number(s)Approximate Address
Application submittals will be accepted by appointment only. (801) 399-8791. 2380 Washington Blvd. Suite 240, Ogden, UT 84401
Current Zoning
Property Information
Fees (Office Use) File Number (Office Use)
Project Name
Proposed Use
Name of Property Owner(s)
Phone Fax
Mailing Address of Property Owner(s)
Property Owner Contact Information
Email Address (required)
Email Address
Phone Fax
Mailing Address of Authorized PersonName of Person Authorized to Represent the Property Owner(s)
Authorized Representative Contact Information
Email Fax Mail
Email Fax Mail
Date Submitted / Completed
Project Narrative
Total Acreage
That the proposed use will comply with the regulations and conditions specified in the Zoning Ordinance and other applicable agency standards for such use.
Reasonably anticipated detrimental effects of a proposed conditional use can be substantially mitigated by the proposal or by the imposition of reasonable
conditions to achieve compliance with applicable standards. Examples of potential negative impacts are odor, vibration, light, dust, smoke, or noise.
Basis for Issuance of Conditional Use Permit
I (We), _______________________________________________, the owner(s) of the real property described in the attached application, do authorized as my
(our) representative(s), _______________________________________________, to represent me (us) regarding the attached application and to appear on
my (our) behalf before any administrative or legislative body in the County considering this application and to act in all respects as our agent in matters
pertaining to the attached application.
_____________________________________________________ _____________________________________________________
(Property Owner) (Property Owner)
Dated this _________day of _________________, 20 ______, personally appeared before me ______________________________________________, the
signer(s) of the Representative Authorization Affidavit who duly acknowledged to me that they executed the same.
Authorized Representative Affidavit
I (We), _______________________________________________, depose and say that I (we) am (are) the owner(s) of the property identified in this application
and that the statements herein contained, the information provided in the attached plans and other exhibits are in all respects true and correct to the best of
my (our) knowledge.
_____________________________________________________ _____________________________________________________
(Property Owner) (Property Owner)
Subscribed and sworn to me this _________day of _________________, 20 ______,
Property Owner Affidavit