Application for Annexation

Applicant

Name:
Address / PO Box:
City State Zip Code Phone

Owner

Name (if applicant is not owner):
Address / PO Box:
City State Zip Code Phone

Property Covered by Request

Address:
Legal Description (Lot, block, addition):

Nature of Request

Explain why you wish to annex this property:

Proposed Zoning of property:

Requirements for Granting Re-Zoning Requests:

What are the surrounding land uses?

Does the re-zone follow the Comprehensive Plan?

Are there enough public facilities available for the possible uses listed for the proposed zone? Please list:

Why do you feel that this re-zone is within the public interest?

Site Plan

Please attach your site plan. The site plan should show: dimension & shape of lot, location of zone you wish to change to, setback distances, easements and rights-of-way
Site Plan:

Security Code