Zoning Map Amendment (Zone Change) Form
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ZONING MAP AMENDMENT
(ZONE CHANGE)
An Am endment of the Zoning Ordinance, including the Official Zoning Map, consists of amending,
supplementing, changing or repealing of regulations, restrictions and/or boundaries.
(For additional information on the map amendment process and requirements please see PFMC 18.20.100)
APPLICANT INFORMATION:
APPLICATION FEE: $ 1200.00
Name: ______________________________
Phone: _______________
Fax: ____________________
Signature: ___________________________________
Date: ____________________________________
Street Address: ___________________________________
E-Mail: ______________________________
City: ________________________________________
State: __________
Zip: ___________________
OWNER INFORMATION:
Name: ________________________________Phone: _____________________ Fax: __________________
Street Address: _____________________________ E-Mail: ______________________________________
City: ______________________________________ State: _____________ Zip: ______________________
APPLICANT STATUS: Owner: _____
Agent: _____
Tenant: _____
Contract Buyer: ___________
ENGINEER: _____
SURVEYOR: _____
PLANNER: _____
OTHER: __________ (specify)
Name: ______________________________
Phone: _______________
Fax: ____________________
Signature: ___________________________________
Date: ____________________________________
Street Address: ___________________________________
E-Mail: ______________________________
City: ________________________________________
State: __________
Zip: ___________________
SITE INFORMATION:
General Location or Address if Available: _____________________________________________________
Legal Description: ________________________________________________________________________
Description of Request: ___________________________________________________________________
Existing Zoning:
____________________
Adjacent Zoning: ______________________________
Current Land Use:
____________________
Adjacent Land Uses: ____________________________
Size of Site: ______________________________
Community Development Department – Planning Division
408 N. Spokane St. Post Falls, ID 83854
(T): 208-773-8708
(F): 208-773-2505
Web:
Revised 10/1/09
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