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INDIAN RIVER COUNTY, FLORIDA <br />`PETITION FOR ZONING CHANGE <br />(File in Triplicate with Department of Zoning) <br />DATE: <br />OWNER: <br />PETITIONER/ AGENT: <br />(If Owner's Agent is making petition, attach a sworn statement of authorization from <br />Owners and a copy of Owner's deed. If Owner is making application, attach a copy <br />of Owner's deed'.) <br />ZONING CHANGE REQUESTED: FROM DISTRICT <br />TO DISTRICT <br />REASON FOR REQUEST: <br />EXISTING USE: <br />A-• <br />PROPERTY DESCRIPTION: (If all property shown on attached deed is to be rezoned <br />to one district, do not fill this in. If only part is to be rezoned or if property is to <br />be rezoned to more than one district, please give complete description for part or <br />parts to be rezoned) <br />SIZE OF PROPERTY: <br />Feet x Feet or Acreage <br />Signature <br />FOR ZONING DEPARTMENT USE: <br />File No. <br />Filing Fee Received: <br />Planning Department Examination: <br />Zoning Commission action on tentative <br />approval <br />Board of County Commissioner's action on <br />Date: <br />appeal of a denial of public hearing: <br />Notification of surrounding property <br />, <br />Date: <br />owners: <br />Advertising for public hearing -Zoning <br />Date: <br />Commission: <br />Public Hearing - 'Zoning Commission: <br />Date: <br />Notification of surrounding property <br />Date: <br />owners: <br />Advertising for public hearingDate: <br />-Board <br />of County Commissioners: <br />Public Hearin <br />Hearing -Board of County <br />Date: <br />--_ <br />Commissioners: <br />Site Plan Approval: <br />Date: <br />Zoning Subject To: <br />Date: <br />Zoning Map Changed <br />Date: <br />FEB 21197391 <br />