Cortez City Zoning Code

APPENDIX D

CITY OF CORTEZ APPLICATION FOR ZONING ACTION

This application is for:

□ Conditional Use Permit	□ Special Exception
□ Right-Of-Way or Easement Vacation	□ Site Plan Review
□ Replat or Plat Amendment	□ Variance
□ Condominium Subdivision/Conversion	□ Minor Subdivision

1. APPLICANT SHALL COMPLETE:


_____
Property Owner	Mailing Address	Phone

_____
Subject Property Street Address

_____
Legal Description; or _______ Attached

_____
Existing Use(s)

_____
Proposed Use(s)	Square Footage	Lot Coverage (%)

_____
Lot Size	Proposed Building Height	Off-Street Parking Spaces

_____
Proposed Setbacks: Front	Side	Rear

_____
Public Works Department Approval?		Sanitation District Approval?

Oath of Applicant

I hereby certify, subject to penalty of perjury, that the above is true and accurate to the best of my knowledge and that I understand all provisions of City and State codes applicable to the proposed development, any and all conditions placed upon the proposed development by the City Council and all information requested by this document. I also understand that if I violate any applicable provisions of City and/or State codes, I may be required to remedy such violation(s) through appropriate legal process imposed by the City, including moving or removing structures and ceasing of construction and/or uses

_____
Signature of Applicant	Date

2. APPLICANT SHALL ATTACH ___ COPIES OF A COMPLETE SITE AND ACCESS PLAN OR PLAT SHOWING THE BUILDING OR STRUCTURE IN SUFFICIENT DETAIL TO DEMONSTRATE THAT THE PROPOSED CONSTRUCTION, RECONSTRUCTION OR CONVERSION, MOVING AND/OR ALTERATION IS IN CONFORMANCE WITH THE PROVISIONS OF THE APPLICABLE ACTION.

Other Items Required: _____
_____
_____

3. ZONING ADMINISTRATOR SHALL VERIFY COMPLIANCE WITH:

Application Completeness___________(If incomplete, return to Applicant)

Zoning _______ Conditional Use Permit # ___________

Floodplain Development Permit # _______ Board of Adjustment Resolution # _____

List Conditions of Approval or Attached: _____

_____

Should Bldg. Permit Application Be Considered?	YES_______	NO_______

Comments _____
_____
_____
_____
Signature of Zoning Administrator	Date

4. BUILDING OFFICIAL SHALL VERIFY COMPLIANCE WITH:

Use	_____	Height	_____	Setbacks	_____
Access	_____	Driveway width	_____	Parking Spaces	_____

Water Supply _____

Sanitation _____

Can Bldg. Permit Be Applied For?

YES_______

NO_______

Comments _____

_____

Signature of Building Official

Date

5. IF THE BUILDING OFFICIAL SO AUTHORIZES, APPLICATION(S) FOR A BUILDING PERMIT THAT CONFORM MATERIALLY WITH ALL INFORMATION PROVIDED ABOVE MAY BE SUBMITTED TO THE BUILDING DEPARTMENT.

For Official Use Only:	Date Received:	_____
	Date Of Public Hearing(s):	_____
	Date Of Approval:	_____

Cortez City Zoning Code

APPENDIX D

CITY OF CORTEZ APPLICATION FOR ZONING ACTION

This application is for:

□ Conditional Use Permit	□ Special Exception
□ Right-Of-Way or Easement Vacation	□ Site Plan Review
□ Replat or Plat Amendment	□ Variance
□ Condominium Subdivision/Conversion	□ Minor Subdivision

1. APPLICANT SHALL COMPLETE:


_____
Property Owner	Mailing Address	Phone

_____
Subject Property Street Address

_____
Legal Description; or _______ Attached

_____
Existing Use(s)

_____
Proposed Use(s)	Square Footage	Lot Coverage (%)

_____
Lot Size	Proposed Building Height	Off-Street Parking Spaces

_____
Proposed Setbacks: Front	Side	Rear

_____
Public Works Department Approval?		Sanitation District Approval?

Oath of Applicant

I hereby certify, subject to penalty of perjury, that the above is true and accurate to the best of my knowledge and that I understand all provisions of City and State codes applicable to the proposed development, any and all conditions placed upon the proposed development by the City Council and all information requested by this document. I also understand that if I violate any applicable provisions of City and/or State codes, I may be required to remedy such violation(s) through appropriate legal process imposed by the City, including moving or removing structures and ceasing of construction and/or uses

_____
Signature of Applicant	Date

Other Items Required: _____
_____
_____

3. ZONING ADMINISTRATOR SHALL VERIFY COMPLIANCE WITH:

Application Completeness___________(If incomplete, return to Applicant)

Zoning _______ Conditional Use Permit # ___________

Floodplain Development Permit # _______ Board of Adjustment Resolution # _____

List Conditions of Approval or Attached: _____

_____

Should Bldg. Permit Application Be Considered?	YES_______	NO_______

Comments _____
_____
_____
_____
Signature of Zoning Administrator	Date

4. BUILDING OFFICIAL SHALL VERIFY COMPLIANCE WITH:

Use	_____	Height	_____	Setbacks	_____
Access	_____	Driveway width	_____	Parking Spaces	_____

Water Supply _____

Sanitation _____

Can Bldg. Permit Be Applied For?

YES_______

NO_______

Comments _____

_____

Signature of Building Official

Date

5. IF THE BUILDING OFFICIAL SO AUTHORIZES, APPLICATION(S) FOR A BUILDING PERMIT THAT CONFORM MATERIALLY WITH ALL INFORMATION PROVIDED ABOVE MAY BE SUBMITTED TO THE BUILDING DEPARTMENT.

For Official Use Only:	Date Received:	_____
	Date Of Public Hearing(s):	_____
	Date Of Approval:	_____

Cortez City Zoning Code

APPENDIX D

CITY OF CORTEZ APPLICATION FOR ZONING ACTION

This application is for:

□ Conditional Use Permit	□ Special Exception
□ Right-Of-Way or Easement Vacation	□ Site Plan Review
□ Replat or Plat Amendment	□ Variance
□ Condominium Subdivision/Conversion	□ Minor Subdivision

1. APPLICANT SHALL COMPLETE:


_____
Property Owner	Mailing Address	Phone

_____
Subject Property Street Address

_____
Legal Description; or _______ Attached

_____
Existing Use(s)

_____
Proposed Use(s)	Square Footage	Lot Coverage (%)

_____
Lot Size	Proposed Building Height	Off-Street Parking Spaces

_____
Proposed Setbacks: Front	Side	Rear

_____
Public Works Department Approval?		Sanitation District Approval?

Oath of Applicant

I hereby certify, subject to penalty of perjury, that the above is true and accurate to the best of my knowledge and that I understand all provisions of City and State codes applicable to the proposed development, any and all conditions placed upon the proposed development by the City Council and all information requested by this document. I also understand that if I violate any applicable provisions of City and/or State codes, I may be required to remedy such violation(s) through appropriate legal process imposed by the City, including moving or removing structures and ceasing of construction and/or uses

_____
Signature of Applicant	Date

Other Items Required: _____
_____
_____

3. ZONING ADMINISTRATOR SHALL VERIFY COMPLIANCE WITH:

Application Completeness___________(If incomplete, return to Applicant)

Zoning _______ Conditional Use Permit # ___________

Floodplain Development Permit # _______ Board of Adjustment Resolution # _____

List Conditions of Approval or Attached: _____

_____

Should Bldg. Permit Application Be Considered?	YES_______	NO_______

Comments _____
_____
_____
_____
Signature of Zoning Administrator	Date

4. BUILDING OFFICIAL SHALL VERIFY COMPLIANCE WITH:

Use	_____	Height	_____	Setbacks	_____
Access	_____	Driveway width	_____	Parking Spaces	_____

Water Supply _____

Sanitation _____

Can Bldg. Permit Be Applied For?

YES_______

NO_______

Comments _____

_____

Signature of Building Official

Date

5. IF THE BUILDING OFFICIAL SO AUTHORIZES, APPLICATION(S) FOR A BUILDING PERMIT THAT CONFORM MATERIALLY WITH ALL INFORMATION PROVIDED ABOVE MAY BE SUBMITTED TO THE BUILDING DEPARTMENT.

For Official Use Only:	Date Received:	_____
	Date Of Public Hearing(s):	_____
	Date Of Approval:	_____