Twenty-Year Registered Use Application Form - Anne Arundel County Maryland printable pdf download

For Office Use Only

ZONE _________

200 MAP _______

CASE # __________________________

CRITICAL AREA: IDA ___ LDA ___ RCA ____

FEE PAID________________________

SAP ___________________

No. of Signs _______

DATE ___________________________

TWENTY-YEAR REGISTERED USE APPLICATION

Property Address: _________________________________________________________________________________

Property Owner: ___________________________________________________________________________________

Owner’s Address:

__________________________________________________________________________________________

Phone______________________________________________________________ Email ________________________

(Work)

(Home)

(Cell)

Business Trade Name

(if applicable): ___________________________________________________________________________

Owner/Proprietor of Business

Date Business/Use Established

: ___________________________

: ______________________

Property Location:__________ feet of frontage on the (n, s, e, w) side of ________________________ (St, Rd, Ln, etc.);

____________ feet (n, s, e, w) of (nearest intersecting street)____________________________ (St, Rd, Ln, etc.)

Tax Account Number ___________________ Tax District ______ Council District ______ Zoning District ________

Lot # _______ Tax Map ______ Block/Grid ______ Parcel ________ Deed Title Reference ________________

Subdivision Name _______________________________________ Area (sq.ft. or acres) _________________

Provide dimensions, square footage area, height, and use for all buildings/facilities/areas on the property (attach additional

sheets, if necessary).

Dimensions

Square Footage

Height

Use

1. ____________________________

_________________

__________________________

2. ____________________________

_________________

__________________________

The applicant hereby certifies and agrees as follows: (1) that s/he is authorized to make this application; (2) that the

information is correct; and (3) that s/he will comply with all regulations of Anne Arundel County which are applicable

hereto.

_________________________________

___________________________________________________________

Owner’s Signature

Application Date

Note: Applicant should attach location map, metes and bounds description, site plan and information to

prove continuous use of all nonconforming uses to this application.

* * * Below For Office Use Only * * *

Application accepted by Anne Arundel County Office of Planning and Zoning: ______________________________________

Initials

Date

Twenty-Year Registered Use to________________________________________________________________________________

___________________________________________________________________________________________________________

04/21/15

Twenty-Year Registered Use Application Form - Anne Arundel County Maryland

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