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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 an <br /> (W item is not applicable. <br /> ITEMS Applicant's Checklist Staff Checklist <br /> 1. Fee: <br /> PropertyPnoperty Size LUDA On1v LUDA and Rezonin .. <br /> - Less than 5 Acres $3,000.00 $3,800.00 <br /> - 5 to 40 Acres $3,800.00 $4,100.00 <br /> -41 to 100 Acres $4,000.00 $4,400.00 <br /> -More than 100 Acres $4,000.00* $4,500.00** <br /> * $200.00 for each additional 25 acres over 100 acres <br /> ** $150.00 for each additional 25 acres over 100 acres <br /> 2. Completed LUDA Application Form front page) <br /> 3. Completed Rezoning Application Form(if <br /> applicable). <br /> J <br /> 4. Letter of Authorization from Current Owner(s) - 77-- 7 <br /> OR Current Owner is Applicant <br /> 5. Verified statement(separate letter)naming every <br /> individual or entity having legal or equitable <br /> ownership in the property. <br /> 6. One(I)Copy of the Owner's Deed <br /> 7. A Current Owner's Title Policy <br /> OR A Certificate of Title from a Title Company <br /> OR An attorney's written opinion evidencing fee <br /> ownership of the property. <br /> 8. One (l) SEALED boundary survey of the area to be redesignated. <br /> The boundary survey shall include, but not be limited to the following: <br /> ❑ a legal description of the land proposed for resdesignation; V <br /> ❑ the size of the land proposed for redesignation; <br /> ❑ the public road right-of-way width of adjacent roads; and <br /> ❑ a north arrow <br /> 9. Electronic version MS Word is referable of the legal description <br /> 10. Copy of Approved Concurrency Certificate <br /> OR Copy of filed application for Concurrency N/A <br /> Certificate, including traffic stud , if applicable <br /> 11. Written statement discussing the following: <br /> ❑ The proposed amendment's consistency with the goals, objectives, <br /> and policies of the comprehensive plan; <br /> ❑ The proposed amendment's impact on public facilities and services <br /> ❑ The proposed amendment's environmental impacts; and <br /> ❑ The proposed amendment's compatibility with surrounding areas. <br /> NOTE: ITEMS 2-7 MUST INDICATE THE SA E OWNE`RF5HIF-OF-T-H-E SUBJECT <br /> PROPERTY. <br /> Revised: January 10,2008 FACommunity Development\Users\VICKIE\FORMS\CPAAMENDMENTFORM.doc <br /> 4TTArHMFNT 1 2 <br /> 506 <br />