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Application for Zoning Amendment

Request a change in zoning district classification. Fill in the application below, print it, sign it, and submit it with the supporting information.

APPLICATION FOR ZONING AMENDMENT
Jersey Township, Ohio

Form #11

Application Number:

The undersigned, owner(s) of the following legally described property hereby request the consideration of change in zoning district classification as specified below:

Location Description

(If not in a platted subdivision attach a legal description of the area)

Supporting Information -- Attach the following items to the application:

  1. A vicinity map showing property lines, streets, and existing and proposed zoning.
  2. A list of all property owners and their mailing addresses within, contiguous to, and directly across the street from the proposed rezoning.
  3. A statement of how the proposed rezoning relates it to the Comprehensive Plan.
  4. A narrative of the proposed amendment to the zoning map or text.
Signature:
Date

For Official Use Only

Planning (Zoning) Commission
Date of Notice in Newspaper:
Date of Notice of Adjacent Property Owner:
Fee Paid:
Decision of Board of Zoning Appeals:

If approved, the following conditions and safeguards were prescribed:

If denied, reason for denial:

Date:
Board of Zoning Appeals
Chairman

Note: One (1) copy to be filed with the Zoning Administrator and two (2) with the Board of Zoning Appeals.

Original PDF