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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: <br />REASON FOR REQUEST: <br />EXISTING USE: <br />FROM <br />TO <br />DISTRICT <br />DISTRICT <br />PROPERTY DESCRIPTION: (If all property shown on attached deed is to be rezoned <br />to one district, do not fill this in. .1f 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 DEPART 14l NT USE: <br />File No. <br />Filing Fee Received: <br />Planning Department Examination: <br />Zoning Commission action on tentative <br />approval <br />Date:_ <br />Board of County Commissioner's action on <br />appeal of a denial of public hearing: <br />Date: - <br />Notification of surrounding property <br />Date; <br />owners: <br />- <br />Advertising for public hearing -Zoning <br />Commission: <br />Date;- <br />Public Hearing - Zoning Commission: <br />Date: <br />Notification of surrounding property <br />owners: <br />Advertising for public hearing - <br />of County Commissioners: <br />Public Hearing - board of Count, <br />Commissioners: <br />Site Plan Approval: <br />Zoning Subject To: <br />l 3oard <br />Date: <br />Date: <br />Date: <br />Datc: <br />Zonin, 11al, Chan erl ---- ��— _ _ ��.UaU <br />