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APPLICATION FORM <br />COMPREHENSIVE PLAN TEXT AMENDMENT (CPT. <br />INDIAN RIVER COUNTY <br />Planning Division accepts Comprehensive Plan Text Amendment applicati <br />thej months of January and July of each year. Each application must be <br />submitted and must include all required attachments. An incomplete app <br />be processed and will be returned to the applicant. <br />Assigned Project Number: CPTA - O -- S C <br />fr <br />only during <br />wider <br />Signature of Owner or Agent: <br />Please attach the following items to this application. Do not ignore any of the following items. Indicate <br />"N/A" if an item is not applicable. <br />I . What is the proposed amendment's citation in the Comprehensive Plan? Include the element or sub- <br />element,ipage number, and if applicable, the objective and policy number(s). <br />2. What is the exact language proposed to be added and/or deleted from the plan? <br />3. What is the purpose of the request? <br />4. What is the justification for the request? <br />5. Provide an analysis of the proposed amendment's consistency with all applicable goals, objectives, and <br />policies of the comprehensive plan. <br />6. Provide an analysis of the proposed amendment's impact on public facilities and services. <br />7. Provide I analysis of the proposed amendment's environmental impacts. <br />8. Provide a,check, money order or cash in the amount of $2,600.00 made payable to Indian River <br />County. <br />THE APPLICANT MUST ATTEND A PRE -APPLICATION CONFERENCE WITH LONG- <br />RANGE <br />ONGRANGE PLANNING SECTION STAFF PRIOR TO APPLYING. <br />F - Community Development\Users\VICKI STORMSICPTAAMENDMENIFORM_doc <br />I <br />ATTACMK 1 1 150 <br />J <br />Current O*nq1/AppliEant2 I Agent <br />Name: <br />, go h <br />Complete Mailing <br />Address: <br />18 01 17 9* SICIwt <br />Ve'-0 .4 ri. 3;- 56 n <br />Phone* (including area <br />code) i <br />Z - 2 26 -- 12- Sn <br />Fax # includin area code <br />7 1 Z— _ 1 R -X- <br />E -Mail: 1 <br />E-Mail: <br />S re h a., s C,,o <br />Contact Persdn: <br />fI - 6'n- ' <br />Signature of Owner or Agent: <br />Please attach the following items to this application. Do not ignore any of the following items. Indicate <br />"N/A" if an item is not applicable. <br />I . What is the proposed amendment's citation in the Comprehensive Plan? Include the element or sub- <br />element,ipage number, and if applicable, the objective and policy number(s). <br />2. What is the exact language proposed to be added and/or deleted from the plan? <br />3. What is the purpose of the request? <br />4. What is the justification for the request? <br />5. Provide an analysis of the proposed amendment's consistency with all applicable goals, objectives, and <br />policies of the comprehensive plan. <br />6. Provide an analysis of the proposed amendment's impact on public facilities and services. <br />7. Provide I analysis of the proposed amendment's environmental impacts. <br />8. Provide a,check, money order or cash in the amount of $2,600.00 made payable to Indian River <br />County. <br />THE APPLICANT MUST ATTEND A PRE -APPLICATION CONFERENCE WITH LONG- <br />RANGE <br />ONGRANGE PLANNING SECTION STAFF PRIOR TO APPLYING. <br />F - Community Development\Users\VICKI STORMSICPTAAMENDMENIFORM_doc <br />I <br />ATTACMK 1 1 150 <br />