Rezoning Application - Anne Arundel County printable pdf download

For Office Use Only

CASE # ________________________

ZONE _________

CRITICAL AREA: IDA ____ LDA ____ RCA ____

FEE PAID______________________

BMA: Yes ____ No ____

DATE _________________________

NO. OF SIGNS ____________

REZONING APPLICATION

Applicant(s):_______________________________________________________________________________________

(Applicant must have a financial, contractual, or proprietary interest in the property)

Property Address: __________________________________________________________________________________

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.).

12-digit Tax Account Number _______________________ Tax District __________ Council District ____________

Waterfront Lot (circle)

Corner Lot (circle)

Y N

Deed Title Reference _____________________

Zoning District ________

Lot Number________ Tax Map _______ Block/Grid ________ Parcel ____________

Area (sq. ft. or acres) __________________ Subdivision Name _____________________________________________

Proposed Rezoning From: _________________ To: ______________

Description of Proposed Rezoning Requested (Brief, detail fully in letter of explanation)

__________________________________________________________________________________________________

The applicant hereby certifies that he or she has a financial, contractual, or proprietary interest equal to or in excess of 10 percent of

the property; that he or she is authorized to make this application; that the information shown on this application is correct; and that he

or she will comply with all applicable regulations of Anne Arundel County, Maryland.

Applicant’s Signature ___________________________ Owner’s Signature ____________________________________

Print Name ___________________________________ Print Name __________________________________________

Mailing Address _______________________________ Mailing Address _____________________________________

City, State, Zip _________________________________ City, State, Zip _______________________________________

Phone ________________________________________ Phone ______________________________________________

(Work)

(Home)

(Work)

(Home)

Cell Phone ____________________________________ Cell Phone ___________________________________________

Email Address _________________________________ Email Address ________________________________________

* * * Below For Office Use Only * * *

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

Initials

Date

Zoning reclassification ________________________________________________________________________________________

____________________________________________________________________________________________________________

Rev 10/05/15

Rezoning Application - Anne Arundel County

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