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JoleneO-H:\Public Works\Zoning\P&Z Board\P&Z Application Forms\2012 Applications\Special Exemption Permit Application 12-11.doc For mapping information and zoning regulations, please visit our website at www.cityofcody-wy.gov. PLANNING, ZONING AND ADJUSTMENT BOARD APPLICATION FOR SPECIAL EXEMPTION PERMIT Owner or Applicant’s Name: Mailing Address: Zip: Phone: Cell: Fax: Email: Project Address: Zone: Legal Description: Description of Proposal: Representative attending Planning and Zoning Board meeting: Signature of Property Owner: Signature Date The Planning, Zoning and Adjustment Board meet the 2nd and 4th Tuesdays at 12:00 p.m., at the City Hall Council Chambers. Please see submittal Date and Fee schedule on page 2 of this document. Optional Pre-application Conference with the Planning and Zoning Board: The pre-application conference is optional and is scheduled at the applicant’s request. The conference allows the applicant to obtain information regarding the special exception process and to identify likely concerns regarding the proposal. No application fee is required and the Planning and Zoning Board takes no formal action concerning the proposal. Application Procedures: Please submit all materials listed. □ LETTER TO BOARD: A letter to the Planning and Zoning Board requesting a special exemption permit. Describe your proposal in detail and explain why you are requesting a special exemption. □ PLOT PLAN: A map showing the major details of the proposal such as location of buildings and structures, parking areas, means of vehicular access, signs, landscaping, fencing, screening, easements, utilities and pedestrian areas. □ NEIGHBORING PROPERTIES MAP: A second map showing parcel requested for special exemption permit and surrounding properties within 140’ (excluding streets & rights of way). The planning department can provide this map for a fee of $6.00. Any additional copies made for your project by city staff will be charged at a rate of $1.00 for the first copy and $0.50 for each additional copy. □ NOTICE TO NEIGHBORING PROPERTIES: Using the attached template, submit letters notifying adjacent property owners within 140’ of the special exemption request. Include the desired public hearing date. You will need to use the neighboring properties map from above to research the owners of the lots within 140’ of your property at the county courthouse and determine who is to be notified. Letter must be approved by planning department before sending to adjacent property owners. □ PROOF OF NOTIFICATION: Along with the copies of notification letters sent via certified mail to all property owners within 140’ of subject property, submit the post office certified mail receipts. □ LEGAL NOTICE: Submit legal notice of public hearing to local newspaper 10 days prior to public hearing date using the attached template and provide proof of publication. Legal notice must be approved by planning department before submitting to newspaper. □ APPLICATION FEE: Provide application fee upon submittal to City of Cody. Applicants are encouraged to arrange a pre-submittal meeting with the planning department to ensure a complete submittal. Re-submittal of any application will result in additional fees. □ Recording Special Exemption: If the Planning and Zoning Board approves your special exemption, you will be responsible for recording the exemption at the Park County Clerk’s Office within 10 days of approval. An official Filing of Record form is attached to this application and must be signed by the Planning and Zoning Board Chairperson. Submit a total of twelve (12) copies of the application, plans, and any other information, folded into 8.5"x11" Submit a digital file containing PDFs of each document submitted Total application must be submitted to the planning department by 4:00 PM, twenty one (21) business days prior to the anticipated public hearing date. STAFF USE File: P&Z Invoice: ---PAGE BREAK--- JoleneO-H:\Public Works\Zoning\P&Z Board\P&Z Application Forms\2012 Applications\Special Exemption Permit Application 12-11.doc For mapping information and zoning regulations, please visit our website at www.cityofcody-wy.gov. P&Z MEETINGS ARE HELD THE 2ND AND 4TH TUESDAY OF EACH MONTH SPECIAL EXEMPTION PERMIT SUBMITTAL DEADLINES & MEETING DATES LISTED BELOW 2 Meetings Per Month City Hall Council Chambers 12:00 p.m. P&Z Application Submittal Date (21 days before the Meeting) Submittal Date (To Newspaper) For Public Hearing Notice Publication Date In Newspaper (10 days before Meeting) Send Certified Notification to Neighbors within 140’ (10 Days Before a Scheduled Meeting) P&Z Meeting Date Due Date For Filing Permit At The Courthouse (10 Days After P&Z Approval) 1st Meeting in January 12/20/11 12/26/11 12/28/11 12/31/11 01/10/12 01/20/12 2nd Meeting in January 01/03/12 01/09/12 01/11/12 01/14/12 01/24/12 02/03/12 1st Meeting in February 01/24/12 01/30/12 02/01/12 02/04/12 02/14/12 02/24/12 2nd Meeting in February 02/07/12 02/13/12 02/15/12 02/18/12 02/28/12 03/09/12 1st Meeting in March 02/21/12 02/27/12 02/29/12 03/03/12 03/13/12 03/23/12 2nd Meeting in March 03/06/12 03/12/12 03/14/12 03/17/12 03/27/12 04/06/12 1st Meeting in April 03/20/12 03/26/12 03/28/12 03/31/12 04/10/12 04/20/12 2nd Meeting in April 04/03/12 04/09/12 04/11/12 04/14/12 04/24/12 05/04/12 1st Meeting in May 04/17/12 04/23/12 04/25/12 04/28/12 05/08/12 05/18/12 2nd Meeting in May 05/01/12 05/07/12 05/09/12 05/12/12 05/22/12 06/01/12 1st Meeting in June 05/22/12 05/28/12 05/30/12 06/02/12 06/12/12 06/22/12 2nd Meeting in June 06/05/12 06/11/12 06/13/12 06/16/12 06/26/12 07/06/12 1st Meeting in July 06/19/12 06/25/12 06/27/12 06/30/12 07/10/12 07/20/12 2nd Meeting in July 07/03/12 07/09/12 07/11/12 07/14/12 07/24/12 08/03/12 1st Meeting in August 07/24/12 07/30/12 08/01/12 08/04/12 08/14/12 08/24/12 2nd Meeting in August 08/07/12 08/13/12 08/15/12 08/18/12 08/28/12 09/07/12 1st Meeting in September 08/21/12 08/27/12 08/29/12 09/01/12 09/11/12 09/21/12 2nd Meeting in September 09/04/12 09/10/12 09/12/12 09/15/12 09/25/12 10/05/12 1st Meeting in October 09/18/12 09/24/12 09/26/12 09/29/12 10/09/12 10/19/12 2nd Meeting in October 10/02/12 10/08/12 10/10/12 10/13/12 10/23/12 11/02/12 1st Meeting in November 10/23/12 10/29/12 10/31/12 11/03/12 11/13/12 11/23/12 2nd Meeting in November 11/06/12 11/12/12 11/14/12 11/17/12 11/27/12 12/07/12 1st Meeting in December 11/20/12 11/26/12 11/28/12 12/01/12 12/11/12 12/21/12 2nd Meeting in December 12/05/12 12/10/12 12/12/12 12/16/12 12/26/12 01/05/13 1st Meeting in January 2013 12/18/12 12/24/12 12/26/12 12/29/12 01/08/13 01/18/13 2nd Meeting in January 2013 01/01/13 01/07/13 01/09/13 01/12/13 01/22/13 02/01/13 P&Z Development/Application Fees - Fees Listed Below: Per Ordinance 2007-20 – Enacted October 17, 2007 – P&Z Development/Application Fees – Due at the time of Submittal. Special Exemption Permit $300.00 • Applications WILL NOT BE REVIEWED until application/development fees have been paid. It is the responsibility of the customer to present receipt of payment or inform Planning staff of payment. • A fee will be charged for each re-submittal of a plan. ---PAGE BREAK--- JoleneO-H:\Public Works\Zoning\P&Z Board\P&Z Application Forms\2012 Applications\Special Exemption Permit Application 12-11.doc For mapping information and zoning regulations, please visit our website at www.cityofcody-wy.gov. Letter to Neighboring Properties within 140 Feet Please return this letter by: (Date must be 1 week prior to the P&Z scheduled meeting.) Date: RE: SPECIAL EXEMPTION PERMIT REQUEST Applicant Name(s): Address/Location & Legal Description: Description of Request: (Please describe what you wish to do and why are you requesting a Special Exemption Permit.) This Request will be presented to the Planning & Zoning Board at their regularly scheduled meeting on Tuesday, , at 12:00 p.m. at the City Hall Council Chambers, 1338 Rumsey Ave. (Date of Meeting) Letter from Neighboring Properties within 140 Feet Dear Board Members: I am familiar with the proposal by (Applicant Name) who is requesting a Special Exemption Permit for the above referenced property. I am the legal owner of Owner’s Name: (Lot & block # or Address of Neighboring Property) (Neighboring Property) I have NO OBJECTION to the Special Exemption Permit Request. Name: Address: Comments: Yes, I would like to be contacted when this topic comes before the P&Z Board. E-mail address: or Phone: No, I would not like to be contacted when this topic comes before the P&Z Board. I OBJECT to the Special Exemption Permit Request: Name: Address: Comments: Yes, I would like to be contacted when this topic comes before the P&Z Board. E-mail address: or Phone: No, I would not like to be contacted when this topic comes before the P&Z Board. Please return to: City of Cody Planning, Zoning and Adjustment Board Attention: Planning Department PO Box 2200 Cody, WY 82414 ---PAGE BREAK--- JoleneO-H:\Public Works\Zoning\P&Z Board\P&Z Application Forms\2012 Applications\Special Exemption Permit Application 12-11.doc For mapping information and zoning regulations, please visit our website at www.cityofcody-wy.gov. LEGAL NOTICE TEMPLATE Publish Date: (Publish one time at least ten (10) days prior to the public hearing.) Legal Advertisement PUBLIC HEARING SPECIAL EXEMPTION PERMIT REQUEST The City of Cody will hold a public hearing at p.m. or as soon thereafter as practical at (Date) (Time) 1338 Rumsey Avenue, in Cody City Council Chambers to consider a request from (Applicant Name) for a Special Exemption Permit to (Describe Special Exemption Permit request) The project is located at (Address & Legal Description) within a zone. Information regarding the requested Special Exemption Permit is available at the Planning (List Zone District) Department in City Hall or by calling [PHONE REDACTED]. Written comments shall be directed to the Planning Department, P.O. Box 2200, Cody, WY 82414 and shall be received prior to the date and time of the public hearing. Everyone is welcome to comment. If hearing assistance is needed, please call 24 hours in advance: 527-7511. ---PAGE BREAK--- JoleneO-H:\Public Works\Zoning\P&Z Board\P&Z Application Forms\2012 Applications\Special Exemption Permit Application 12-11.doc For mapping information and zoning regulations, please visit our website at www.cityofcody-wy.gov.