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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 not applicable. <br />1. Fee: <br />Property Size <br />- Less than 5 Acres <br />- 5 to 40 Acres <br />- 41 to 100 Acres <br />- More than 100 Acres <br />ITEMS <br />LUDA Only <br />$3,000.00 <br />$3,800.00 <br />$4,000.00 <br />$4,000.00* <br />LUDA and Rezoning <br />$3,800.00 <br />$4,100.00 <br />$4,400.00 <br />$4,500.00** <br />Applicant's Checklist <br />Staff Checklist <br />$4,100.00 <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 />X <br />X <br />4. Letter of Authorization from Current Owner(s) <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 />Current owner is applicant <br />X <br />6. One (1) Copy of the Owner's Deed <br />X <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 />ownershp of the property. <br />X <br />8. One (1) 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; <br />o the size of the land proposed for redesignation; <br />o the public road right-of-way width of adjacent roads; and <br />❑ a north arrow <br />9. Electronic version (MS Word is preferable) of the legal description <br />10. Copy of Approved Concurrency Certificate <br />OR Copy of filed application for Concurrency <br />Certificate, including traffic study, if applicable <br />X <br />X <br />N/A <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 />X <br />NOTE: ITEMS 2-7 MUST INDICATE THE SAME OWNERSHIP OF THE SUBJECT <br />PROPERTY. <br />Revised: January 10, 2008 F:\Community Development\ Users\vICKIE\FORMS\CPAAMENDMENrFORM.doc <br />2 <br />158 <br />