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Rezone / Special Use / Future Land Use Map Amendment / Change in Conditions Application - Town of Carl or Town of Bethlehem

Be sure to have all necessary documents before you begin this application. Those documents include: Signed Pre-Application Meeting Notes, Applicant / Owner Certification, Letter of Intent, Copy of a Recorded Plat, Legal Description, Boundary Survey, Site Plan, Water Letter, Sewer Letter / Environmental Health Letter (Septic Letter), Disclosure of Campaign Contributions (Attachment A), and any Proffered Conditions (Attachment B).

What type of Zoning Action are you applying for? (Please check all that apply.)

Are you applying for a variance in conjunction with another Zoning Action

Applicant Address

Applicant is the...

Who will be the main point of contact for this application?

Contact Name

Contact Address

Property Owner(s) Address

Location / Address of the Proposed Variance

Upload Applicant / Owner Certification

Upload Letter of Intent

Upload Copy of Recorded Plat

Upload Legal Description

Upload Boundary Survey

Upload Site Plan

Upload Renderings and Elevations of Building(s)

Upload Water Letter

Upload Sewer Letter / Environmental Health Letter (Septic Letter)

Upload Attachment A - Distribution of Campaign Contribution

Upload Attachment B - Proffered Conditions

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Signature

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