Zoning: Special Use Permit
Instructions:
Print and complete this form, then return the completed form and fee payment to the City Administrator’s Office in the Memorial Hall building. Call (620) 583-6140 with questions, or send an email to zoning@eurekakansas.com
1. APPLICANT: _______________________ PHONE: _______________
ADDRESS: _______________________
_______________________
_______________________
LOCATION OF PROPERTY: _____________________
APPLICANT’S INTEREST IN PROPERTY (OWNER, TENANT, OTHER):
_________________________________
NAME OF AGENT (if any)____________________ PHONE ( ___) __________
ADDRESS: ______________________________________________________
______________________________________________________
______________________________________________________
2. PRESENT USE OF PROPERTY: _______________________________
3. PRESENT ZONING:___________________________________________
4. SPECIAL
USE REQUIRED:
_____________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
5. APPLICATION IS MADE IN ACCORDANCE WITH ZONING REGULATIONSSECTIONS ___________________________________________________________________
___________________________________________________________________
6. ADJACENT ZONING AND LAND USE:
LAND USE ZONING
NORTH: ____________________ _______________________
SOUTH: ____________________ _______________________
EAST: ____________________ _______________________
WEST: ____________________ _______________________
The owner hereby declares that all information above is true to the best of his/her knowledge, that all conditions and standards set out in the Zoning Regulations pertaining to this use have been met or have been proposed to be met, and that, along with this application, sketch maps and the appropriate review and filing fee have been submitted.
APPLICANT: AUTHORIZED AGENT:
_____________________________ ____________________________
Signature Signature
______________________________ ___________________________
Date Date
----------------------------FOR OFFICIAL USE ONLY----------------------------------
CASE NO. : __________
DATE RECEIVED: __________
FEE PAID: _________
RECEIVED: __________
DATE ADVERTISED FOR HEARING: _____________________________
PUBLIC HEARING DATE: _____________________________
ACTION OF BOARD OF APPEALS: _____________________________
APPEALED TO DISTRICT COURT: _____ DATE ________________________
DECISION OF DISTRICT COURT: _____ DATE __________________________
