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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 /> item is nota licable. <br /> ITEMS Applicant's Checklist Staff Checklist <br /> 1. Fee: <br /> Propelt Size LUDA Only LUDA and Rezonin <br /> - Less than 5 Acres $3,000.00 $3,800.00 $3,800 <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 a <br /> 2. Completed LUDA Application Form front page) X <br /> 3, Completed Rezoning Application Form (if X <br /> applicable) <br /> 4. Letter of Authorization from Current Owner(s) X <br /> OR Current Owner is Applicant <br /> 5. Verified statement(separate letter) naming every X <br /> individual or entity having legal or equitable <br /> ownership in the property. <br /> 6. One (1 Co of the Owner's Deed X <br /> 7. A Current Owner's Title Policy <br /> OR A Certificate of Title from a Title Company X <br /> OR An attorneN's written opinion evidencing fee <br /> ownership of the property. <br /> S. One (1) Sl---Al-FD boundar\ surVe, of the area to be redesignated. <br /> The boundary Survey shall include. but not be limited to the following: X <br /> ❑ a legal description of the land proposed for resdesignation; <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 X <br /> 10. Copy of Approved Concurrency Certificate <br /> OR Copy of filed application for Concurrency X <br /> Certificate, including traffic study, if applicable <br /> 11, Written statement discussing the following: <br /> The proposed amendment's consistency with the goals, objectives, <br /> X <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 SAME OWNERSHIP OF THE SUBJECT <br /> PROPERTY. <br /> Revised: January 10, 2008 I)evclopmentVlJscrsVVICE`IF\FORMSVCI'AAMGNI)Nil:N'rrORM doc <br /> 2 <br /> 172 <br />