Zone Change Application Form - Metropolitan Nashville Planning Department
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1
2Metropolitan Nashville Planning Department
Voice:
615.862.7190
Metro Office Building
Fax:
615.862.7130
800 Second Avenue South
E-mail: planningstaff@nashville.gov
Nashville, TN 37201
Z
C
A
one
hange
pplication
The METROPOLITAN COUNCIL requires all information shown on the checklist below. It is strongly recommended
you contact the district councilmember about your zone change application, prior to submitting it to the Planning Dept.
Application No. _____________________
Date Submitted:____________
(Assigned by Planning Department staff)
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:
Associated cases
PUD
General Plan Amendment
Subdivision
Mandatory Referral
Parcel(s)
Current
Requested
# of
If portion, use “part of parcel....”
Map
Zoning
Zoning
Acres
Total Acres
Reason(s) for this zone change request:
_________________________________________________________________
Community Plan Consistency
(to be completed by applicant):
___________________
______________________________________________________________
Community Plan # (1-14)
Land Use Policy
(e.g. Residential Low Medium)
CONTACT INFORMATION
NOTE:
All correspondence will be e-mailed to both the property owner and surveyor. If the property is owned by a corporation, LLC,
LLP, company, etc. then you’ll need to submit a letter on company letterhead or documentation that the individual is authorized to act
on behalf of the entity with regard to this particular application.
You must fill-in all information --- fields are not optional.
PROPERTY OWNER #1
PROPERTY OWNER #2
Property Owner’s
Property Owner’s
Name: ____________________________________________
Name : ________________________________________________
Address: __________________________________________
Address: ______________________________________________
City: ___________________ State: ____ Zip: ____________
City: _______________________ State: ____ Zip: ____________
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Phone: ___________________
business
home
cell
Phone: _______________________
business
home
cell
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Phone: ___________________
business
home
cell
Phone: _______________________
business
home
cell
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Fax:
___________________
business
home
Fax:
_______________________
business
home
E-mail: ___________________________________________
E-mail: _________________________________________________
Owner
Owner
: ___________________________________
Signature
Signature: _______________________________________________
Print Name: _______________________________________
Print Name: _______________________________________
Ver.6 Rev. 7/09/08
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