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APPLICATION FORM <br />COMPREHENSIVE PLAN TEXT AMENDMENT (CPTA) <br />INDIAN RIVER COUNTY <br />Planning Division accepts Comprehensive Plan Text Amendment application116nly during <br />the months of January, April, July and October of each year. Each applicatiNnoln,ust be <br />complete when submitted and must include all required attachments. An incom�3let " <br />application will not be processed and will be returned to the applicant. <br />Assigned Project Number: CPTA - -2pl I06,�5(72F31 C: <br />Signature of Owner or Agent: 4 <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 />1. What is the proposed amendment's citation in the Comprehensive Plan? Include the element or sub - <br />element, page 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 />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 an 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 PLANNING SECTION STAFF PRIOR TO APPLYING. <br />FACommunity Development\Users\VICKIEIPORMS\CPTAAMENDMENTFORM.doc <br />Attachment 2 <br />Current Owner/Applicant <br />Agent <br />Name: <br />?, I/ S " fr <br />Complete Mailing <br />Address: <br />1 1 oI 2 71,t 5 <br />Vero 64g"A , F1, ,g 2 o n <br />Phone # (including area <br />code)7 <br />12- "' 2 <br />Fax #(including area code <br />'% '7 2 z 24 ^ 1 2 2 <br />E -Mail: <br />b s� ✓if ' :`rc .� r .,y, <br />Contact Person: <br />f7- <br />Signature of Owner or Agent: 4 <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 />1. What is the proposed amendment's citation in the Comprehensive Plan? Include the element or sub - <br />element, page 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 />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 an 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 PLANNING SECTION STAFF PRIOR TO APPLYING. <br />FACommunity Development\Users\VICKIEIPORMS\CPTAAMENDMENTFORM.doc <br />Attachment 2 <br />