Plan Commission Application Form - City Of Cudahy Wi

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Plan Commission Application Form
City of Cudahy, 5050 South Lake Drive, Cudahy, Wisconsin 53110
414-769-2215
414-769-2257 (FAX)
Fillable electronic copy is available on our website:
Applicant or Agent for Applicant
Agent is Representing (Owner - Leasee)
Name:
Name:
Company:
Company:
Address:
Address:
City:
State:
Zip:
City:
State:
Zip:
Daytime Phone Number
Daytime Phone Number
E-mail Address
E-mail Address
Fax Number
Fax Number
Project Name/New Company Name (if applicable)
Application Type and Fee
(Check all that apply)
Request for Zoning Change: $ 300.00 (Public Hearing Required)
Agent Address will be used for all official correspondence
__
Existing Zoning:
Proposed Zoning:
Property Information
Request for Ordinance Amendment $ 300.00 (Public Hearing Required)
__
Property Address:
Conditional Use, $300.00 (Public Hearing Required)
__
Tax Key Number:
Certified Survey Map, $200 plus $300.00 for each additional buildable lot
__
Current Zoning:
Planned Unit Development $300.00 (Public Hearing Required)
__
Property Owner:
Subdivision Plats Preliminary $400.00
__
Property Owner Address:
Subdivision Plats Final, $300.00 per lot
__
__
Street or Alley Vacation/Dedication, $250.00
*Level 1 (Project cost of less than $2,000)Site, Landscaping, Architectural Plan Review,
Existing Use of Property:
__
$35.00 [$150.00]
*Level 2 (Project cost of more than $2,000 but less than $25,000) Site, Landscaping,
__
Architectural Plan Review, $125.00 [$250.00]
*Level 3 (Project cost of more than $25,000 but less than $100,000) Site, Landscaping,
Structure Size:
Addition
__
Architectural Plan Review, $250.00 [$500.00]
*Level 4 (Project cost of more than $100,000.00 but less than $200,000) Site,
Construction Cost Estimate
__
Landscaping, Architectural Plan Review, $500.00 [$1,000.00]
*Level 5 (Project cost of more than $200,000) Site, Landscaping, Architectural Plan
Landscaping Cost Estimate:
__
Review, $900.00 [$1,800.00]
Total Project Cost Estimate:
__
*Site, Landscaping, Architectural Plan Amendment, $100.00 [$200.00]
Previous Occupant:
__
*Extension of Time, $250.00 [$500.00]
__
*Signage Plan Review, $100.00 [$200.00]
Attach Detailed Plans Of Proposal
In order to be placed on the Plan Commission agenda, the Zoning Administrator must receive a completed application, appropriate fees, and a
detailed project description. Two (2) 24" x 36" copies of all referenced maps, plans and elevations should be sibmitted for departmental review.
Projects requiring Plan Commission and Design Board review will submit fourteen (14) copies of each document, reduced to 11" x 17" or other
reduced legible scale; projects requiring only Plan Commission review will submit nine (9) copies. An electronic copy in PDF format of the plans
should also be obtained by e-mail or other method.
Submittals will be accepted until 4:30 pm ten (10) days prior to the meeting. Plan Commission meets the second Tuesday night of each month. The
fee for submittals after the 10 day deadline are shown in the brackets.
Attached Plans Include: (Application is incomplete without required plans, see handout for requirements)
___ Site Plan
___ Floor Plans
___ Elevations
___ Signage Plan
___ Legal Description
___ Certified Survey Map
___ Other __________________________________________
___ Utility System Plan
___ Grading Plan
___ Landscaping/Screening Plan
Applicant or Agent Signature:
Date:
Please do not write in this box
Application Accepted by:
Meeting Date:
Date:
Total Fee
Please make checks payable to:
City of Cudahy
Inspections Drive:\Public Meetings\Plan Commission\Application\Plan Commission Application 03-2016.pdf

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