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8/24/12 Planning & Community Development Department (307) 358-2132 (307) 358-6447 Fax APPLICATION FOR ZONING ADDRESS PHONE APPLICANT (if other than owner) INTEREST ADDRESS PHONE LEGAL DESCRIPTION OF PROPERTY (Include Subdivision) WHAT CONDITION OR CHARACTER OF THE PROPERTY, NEIGHBORHOOD, OR AREA JUSTIFIES THIS REQUEST? WHAT IS THE PROPOSED USE OF THE PROPERTY IF REZONING IS OBTAINED? ACREAGE OF PROPOSED CHANGE PRESENT ZONE PROPOSED ZONE THE FOLLOWING ARE ATTACHED IF APPLICABLE: 1. Proof of ownership 2. A map showing the location and boundaries of the property proposed for rezoning. 3. A list of the corporate officers. 4. A letter signed by the owners of the property proposed for rezoning, authorizing an agent to apply for rezoning. I, the undersigned, represent that all the facts in this application are true to the best of my knowledge and that I am the owner of the above described property or have been authorized by the owner to make this application as his agent. Date Signature of Applicant PLANNING DEPARTMENT USE ONLY Rezone from To Fee: (R-1, R-2, RE, RR, MH-1, GRN: $25.00 R-3, R-4, MH-2, CB-1, B-1, B-2, PLI, I, MU-PUD: $125.00) Planning Commission Hearing Date Approval r Disapproval r City Council Hearing Date Approval r Disapproval r Received By Date Receipt #