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Advisory Request Application to Planning Commission

2. Type of Application

   1. Final Planned Residential Development
   2. Final Subdivision (Greater than 5 Lots)
   3. Land Development Plan
   4. Minor Subdivision (5 lots or less, no new streets)

   1. Preliminary Site Land Development
   2. Preliminary Subdivision (Greater than 5 Lots)
   3. Tentative Planned Residential Development
   4. Zoning Change/Amendment

4. Notice to Applicant
   Please complete and submit this form two weeks before the Planning Commission Workshop (the first Tuesday of every month) to be placed on the meeting agenda.

   Please complete and submit this form two weeks before the Planning Commission Workshop (the first Tuesday of every month) to be placed on the meeting agenda.

6. Applicant/Owner Name

8. Address

10. City

11. State

12. Zip Code

14. Phone Number

15. Fax Number

17. Email Address

21. Representative Name

23. Address

25. City

26. State

27. Zip Code

29. Phone Number

30. Fax Number

32. Email Address

36. Name of Proposal

38. Location

    (Address or general vicinity)

40. Description & Purpose of Advisory

42. Tax Map Number(s)

44. Will a Conditional Use application be required by Zoning Ordinance?

    Please explain why or why it will not be necessary.

46. Are there any variances required by the Zoning standards?

    If so, please explain.

48. List the specific questions and analysis that you are seeking from the Planning Commission:

50. Please <a class="Hyperlink" target="_self" href="mailto:pfox@murrysvillegov.org">email any additional sheets</a> if necessary.

    Please email any additional sheets if necessary.

52. Check "Yes" for Your Electronic Signature*

    1. Yes

53. Date
    Date

Leave This Blank:


54. 1. Receive an email copy of this form.
55. Email address

    This field is not part of the form submission.

56. Submit

* indicates a required field