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LAND USE DESIGNATION AMENDMENT APPLICATION CHECKLIST <br /> Please attach the following items to this application. Do not ignore any of the items. Indicate "N/A" if <br /> an item is not applicable. <br /> 1 . Fee : N/A <br /> Property Size LURA Only LUDA and Rezoning <br /> - Less than 5 Acres $3 ,000 . 00 $35800 . 00 <br /> - 5 to 40 Acres $39800 . 00 $4, 100. 00 <br /> - 41 to 100 Acres $49000.00 $4,400 . 00 <br /> - More than 100 Acres $49000 . 00* $49500 . 00 * * <br /> * $200 . 00 for each additional 25 acres over 100 acres <br /> * * $ 150 . 00 for each additional 25 acres over 100 acres <br /> YES NO <br /> 2 . Completed LUDA Application Form(front page) X <br /> 3 . Completed Rezoning Application Form (if applicable) X <br /> 4 . Letter of Authorization from Current Owner(s) X <br /> OR Current Owner is Applicant X <br /> 5 . Verified statement (separate letter) naming every N/A <br /> individual or entity having legal or equitable ownership in <br /> the property. <br /> 6 . One ( 1 ) Copy of the current Owner' s Deed X <br /> 7. A Current Owner' s Title Policy X <br /> OR A Certificate of Title from a Title Company N/A <br /> OR An attorney' s written opinion evidencing fee N/A <br /> ownership of the property. <br /> 8 . One ( 1 ) SEALED boundary survey of the area to be X <br /> rezoned. The boundary survey shall include, but not be <br /> limited to the following : <br /> Ira legal description of the land to be rezoned; <br /> ZIthe size of the land to be rezoned; 2.5 ac. <br /> 21the public road right-of-way width of adjacent roads; and; 45th St - 96.5 ' and 60' ; 43' d Ave - 80' <br /> ff'a north arrow; Yes <br /> 9. Copy of Approved Concurrency Certificate N/A <br /> OR Copy of filed application for Concurrency N/A <br /> Certificate, including traffic study, if applicable <br /> 10 . Written Statement discussing the following : x <br /> Z'The proposed amendment ' s consistency with the goals, objectives and policies of the comprehensive plan; <br /> Rr The proposed amendment ' s impact on public facilities and services; <br /> B' The proposed amendment' s environmental impacts; and <br /> eThe proposed amendment' s compatibility with surrounding areas. <br /> NOTE : ITEMS 24 MUST INDICATE THE SAME OWNERSHIP OF THE SUBJECT <br /> PROPERTY. <br /> F: TommmutyDevelopment\UsersVICKOFORMSTPAAMEN NWWORM.doe <br />