Fill - Free fillable Zoning-Permit-Application-PDF-Fillable-Version-1-8-18-Approved - FINAL VERSION APPROVED 1-8-18 Village of Brooklyn Zoning Permit Application PDF form



1OF3UPDATED1/3/2018



VillageofBrooklyn

ZoningorRezoningPermitApplication

210CommercialStreet,P.O.Box189

Brooklyn,WI53521

608‐455‐4201/fax455‐1385

clerk@brooklynwi.govordeputyclerk@br ooklynwi.gov

☐Zoning☐Rezoning

ContactInformation

Name:



Co.Name(ifApplicable)

Address:



City/State/Zip

WorkPhone



HomeorCellPhone

Email Fax



BestWaytoreachmeis:

PhoneEmail

Iamthe:

OwnerTenantRepresentative

Procedure

NewRezoning

☐☐Pickupapplication.Readthroughexpectations.Ordinance(s)117‐303,117‐304,117‐544

☐☐MeetwithVillageofficials(zoninginspector)todiscussplanneduseandnecessarysubmittals. 

☐☐Completeapplicationandsubmitviapapercopyandsendapdfversionviaemailedtoclerk’s

office

21daysbeforePlanCommissionMeeting.

☐☐Clerktopublish,andnotifypropertyownerswithin300’andsetpublichearingdate.

☐☐AttendPlanC ommissionmeetingatwhichapplicationwillbeconsidered.

☐☐PlanCommissionpublichearingheld.Date:______________________________

ReferenceMaterials–www.brooklynwi.gov



VillageOrdinance(s)117‐303,117‐304,117‐544

ZoningMap



PropertyInformation

PropertyAddress:___________________________________________________________________

LotorBlock#:____________________________Subdivision:_________________________________

TaxParcel#:_____________________________TotalAcreage:_______________________________



CurrentUseofProperty:______________________________________________________________



ProposedUseofProperty:____________________________________________________________



ProposedRezoning☐NotApplicable



CurrentZoning:__________________________Current ConditionalUsePermitinPlace?_________



ProposedZoning:_________________________WillConditionalUsePermitbeneeded?_________



IfResidential:

NumberofDwellingUnits_____NumberofParkingStalls______



2OF3UPDATED1/3/2018



Non‐Residential:NumberofEmployees______NumberofParkingStalls______Handicapped_____

Hoursofoperation________



Submittals



Submit1papercopyandalsosubmitdocumentsviaemailinpdfformatthefollowingapplicableitemstothe

clerk@brooklynwi.govanddeputyclerk@ brooklynwi.gov





CertifiedSurveyMap,PlatorDrawingshowingthefollowing:

Lotsinvolved,locationsize,boundaries, dimensions,uses,andsizeofthesubjectsite;existing

proposedstructures;existingproposedeasements,streetsandotherpublicways;public

utilities;off‐streetparking,loadingareasanddriveways;existinghighwayaccessrestrictions;

highwater;

channel,floodwayandfloodplainboundaries;steepslopes,woodedareas;and

existingandproposedstreet,side andrearyards.Inaddition,theplatofsurveyshallshowthe

location,elevation,anduseofanyabuttinglandsandtheirstructureswithin40feetofthe

subject.

Additionalinfomayberequiredby

thezoningadministrator,plancommission,villageboard,and

buildinginspector,villageengineering,fireandsafety,orpublicworks,andother

personnel/consultants,including allinformationrequiredforsiteplanapprovalunderOrdinance

117‐400.





Petitionsforchangeshalldescribethepremisestoberezoned:

Specifyinwritingadescriptionof

theproposedchange,reasonfortheamendmentandother

supportinginformationandattachthefollowing:

Aplotplandrawntoascaleofone‐inchequals100feet,showingtheareaproposedtobe

rezoned,itslocation,itsdimensions,thelocationandclassificationofadjacentzoning

districtsandthelocation

andexistinguseofallpropertieswithin200feetofthearea

proposedtoberezoned.





LetterofIntent:

LetterofIntentshoulddescribe,indetail,whatthepropertywillbeusedfor.Includethe

purposefortherequest,constructionschedules,namesofpeopleinvolved(applicant,owner,

contractor,

architect,landscaper,businessmanager).Giveadetaileddescriptionofthetypeofbusiness

proposed,thehoursofoperation,numberofemployees,accessandparkingproperty.Ifresidential,

describehowmanydwellingunitsandexpectednumberofresidents,aswellasaccessandparkingon

property.

Includephysicalinformationon

thesizeandlayoutofthesite,aswellasanyfeaturesofthe

propertysuchaswetlands,floodplain,woodlandsorotherenvironmentalfeatures.

ThePlanCommissionisrequiredtobaseitsdecisiononwhethertheapplicantdemonstrated

thattheproposedzoningwillmeetthestandardsofthezoning

code.Includeanyadditional

informationthatyouwishtosubmitinsupport oftherequested action.



3OF3UPDATED1/3/2018



Owner’sSignature–StatementofUnderstanding



Bysigningbelow,I__________________________,certifythattheinformationcontainedinthisapplicati onis

trueandaccuratetothebestofmyknowledge,andunderstandthatadeliberatemisrepresentationof

informationmaybegroundsfordenialorreversalofthisapplication,and/orrevocationofanyapprovalalready

awardedbasedon

thisapplication.



IalsoauthorizetheVillageofBrooklynstaffpermissiontoviewandenterthesubjectpropertyforthepurposeof

reviewingandinvestigatingthisrequest.



Iunderstandthatthesubmittalofthisapplicationandpaymentoftheproperfeesdoesnotmeanthatissuance

ofaZoningchange

isimminentandguaranteed.



Iunderstandthatissuanceofazoningchangedoesnotqualifyas,norreplacethenecessityforproperpermitting

fortheproposedproject.



____________________________________________________________________

SignatureofApplicantDate



____________________________________________________________________

PrintedNameTitle



OfficeUseOnly

DateReceived:_________________By:____ ________________Parcel#:_____________________________

Referredto:________________________________________Fee:____________Check#________________

NotifyPropertyOwnerswithin300feet__________________Senton:___________By:________________

Publish/PostHearingNotice___________________________Senton:___________By:________________



OfficeUseOnly–MaterialsSentTo:

DateSent:ReturnBy:Response:

ZoningAdministrator_________________________________

BuildingInspector_________________________________

PublicWorks_________________________________

PoliceDepartment__________________________________

FireInspector__________________________________

EMS__________________________________

VillageAttorney(asneeded)________________________________ __

VillageEngineer(asneeded)__________________________________



Approvals

PlanCommissionmeetingdate:_________________________________



Yourrequesthasbeen:_____Approved_____NotApproved

_____ApprovedwiththeseConditions:



VillageBoardmeetingdate:____________________________________



Yourrequesthasbeen:_____Approved_____NotApproved

_____ApprovedwiththeseConditions:



click to sign

signature

click to edit

Download
Save PDF to desktop

Email
Email completed PDF

Send for Signing
Email for others to sign

Print
Print document

NAME

Zoning-Permit-Application-PDF-Fillable-Version-1-8-18-Approved - FINAL VERSION APPROVED 1-8-18 Village of Brooklyn Zoning Permit Application

View Audit Log
Print With Audit Log
Duplicate Document

Fill Online, Printable, Fillable, Blank Zoning-Permit-Application-PDF-Fillable-Version-1-8-18-Approved - FINAL VERSION APPROVED 1-8-18 Village of Brooklyn Zoning Permit Application Form

Related forms

Fillable Zoning-Permit-Application-PDF-Fillable-Version-1-8-18-Approved - FINAL VERSION APPROVED 1-8-18 Village of Brooklyn Zoning Permit Application

Fill Online, Printable, Fillable, Blank Zoning-Permit-Application-PDF-Fillable-Version-1-8-18-Approved - FINAL VERSION APPROVED 1-8-18 Village of Brooklyn Zoning Permit Application Form

Related forms

First 20 documents completely FREE!