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5:00 PM Submittal
Deadline/last Thursday of each month (effective 1-1-07) |
(Entered
by Inspections/Permits Dept) H.T.E. Number: Fee Collected: |
TYPE of REQUESTS
(Check all that apply):
General Zoning Conditional Use Zoning PDD PDD Amendment
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Name of Project: |
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Name of New/Amended PDD (if applicable): |
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Date of Pre-Application Meeting: |
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Part 1 - Applicant Information: |
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Applicant (see part 7, note to
property owners) |
Applicant’s Contact
Person |
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Name Firm Address City,
State, Zip Phone
(area code) E-mail |
Name Firm Address City,
State, Zip Phone
(area code) E-mail |
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Part 2 - Parcel & Owner
Information: |
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Property Owner(s) |
County Parcel Number(s) (10 digit) |
Real Estate ID(s) |
Area |
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Name Address City,
State, Zip |
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Name Address City,
State, Zip |
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Name Address City,
State, Zip |
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Name Address City,
State, Zip |
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Total Acres |
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Part 3 – Location: |
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General Location/Address Of Property: |
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Extra-Territorial Jurisdiction (ETJ): |
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Associated Annexation: |
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Part 4 – Zoning:
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Base Zoning District(s) |
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Current Zoning: |
Proposed Zoning: |
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Overlay Zoning District(s) if applicable: |
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Zoning Condition(s)
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Existing zoning conditions (If
applicable)
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Proposed zoning conditions (If
applicable)
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Part 5 – Land Use Designation and Comprehensive Plan Amendment
Request:
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Is the proposal consistent with the
adopted comprehensive plan?
________ Yes ________ No (if no, complete part 6, section B) Adopted Land Use Designation:
Proposed Land Use Designation:
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Part 6
A.
Applicant’s Justification Statement for Rezoning or Mixed Use Sketch
Plan:
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How is the proposed
request reasonable? In explaining how
it is reasonable, please address the first four questions; #5 is for a PDD
request: 1. Any issues with the size of the tract? 2. How is the request compatible with the
comprehensive plan (i.e. Land Use, Transportation, Open Space and Historic
Resources)? 3. What are the benefits and detriments to the
owner, neighbors and the community? 4. How are all the allowable uses with the
proposed rezoning compatible with, or how do they relate to, the uses
currently present on adjacent tracts? 5. PDD/new or amended: What reductions/amendments and/or
modifications to the development standards of the LDO are being requested and
how are they justified? Applicants
must list these items and/or clearly highlight them within the Planned
Development document. |
Part 6 – (Fill out only if CPA is required)
B.
Applicant’s Justification Statement for Comprehensive Plan Amendment:
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How is the proposed
request reasonable? In explaining how it
is reasonable, please address the following, if applicable: 1. Describe how the requested amendment is
warranted due to changes in conditions, forecasts, or assumptions since the
original Comprehensive Plan recommendations were developed? 2. Describe how the requested amendment is
warranted due to new issues, needs, or opportunities that have arisen in this
geographic area since the original Comprehensive Plan recommendations were
developed? 3. Describe how the requested amendment is
warranted due to changes in Town policies, objectives, or standards since the
original Comprehensive Plan recommendations were developed? 4. Describe how the requested amendment is
warranted due to errors or omissions in the current Comprehensive Plan? |
Part 7 – Signature Sheet
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Property Owner(s) |
County Parcel Number(s) (10 digit) |
Real Estate ID(s) |
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Name Street
Address City,
State, Zip |
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Name Street
Address City,
State, Zip |
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Name Street
Address City,
State, Zip |
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Note to Property Owners - - Disclosure Statement
When the owner of land is
not an individual, then the rezoning application shall include a disclosure
statement that indicates the type of entity involved, and the name and address
of each person
who holds 10% or more of the business entity. When the owner of land is a publicly-owned business entity, then the
rezoning application shall include a disclosure statement that indicates the
name and address of each person who holds 25% or more of the
business entity.
Does this application
require this disclosure statement?
______Yes ______ No
The undersigned states the
information submitted to the Town of Cary Planning Department is true and
correct. If this is a conditional use request, the undersigned states that the
conditions offered are voluntarily offered by all owners of said property.
Signature(s) Of Applicant/Owner(s) Print Name(s)
Date
____________________________ __________________________ _________
____________________________ __________________________ _________
____________________________ __________________________ _________
_____________COUNTY,
SWORN TO AND SUBSCRIBED before me this ________ day of _______________, 20_____
(Official Seal) __________________________________________________
Signature of Notary Public
My Commission Expires: _________________________
Authorized
Agent Documentation:
When an authorized agent
files an application on behalf of a property owner, the agent shall provide the Town with notarized documentation that the owner of the property has
authorized the filing of the application and that the agent has permission to
represent them through the public hearing process.
An authorized agent is defined as:
I/We, ________________________, the fee simple owner(s) of the
following described property: Property Owner Name(s)
_____________________________________________________________________________________________PIN, Real ID Number or Legal
Description
hereby petition the Town of Cary to amend the (circle one or
more) Land Use, Zoning Map, Sketch Plan,
Conditional Use, or other from _____________to_____________ and affirm that
Zoning/Use Zoning/Use
__________________________________________ is hereby designated to act as
my/our agent
Authorized Agent
and to file
the attached application for the stated amendment(s) and make binding
statements and commitments regarding the amendment request(s).
I certify
that I have examined the application and that all statements and diagrams
submitted are true and accurate to the best of my knowledge. Further, I understand that this application,
attachments and fees become part of the Official Records of the Town of Cary,
North Carolina and are not returnable.
______________________________________________ _______________
Owners’ Signature Date
_____________COUNTY,
SWORN TO AND SUBSCRIBED before me this ________ day of
_______________, 20_____
(Official Seal)
__________________________________________________
Signature of Notary Public
My
Commission Expires:
_________________________
Rezoning/PDD/CPA/Mixed Use Sketch Plan Application Submittal
Checklist
(Must be
completed)
Pre-submittal meeting held
(optional)
Neighborhood
meeting for Mixed Use Sketch Plan is required prior to application submittal -
please include a document indicating the following:
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Date,
time and location of meeting
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Attach
list of neighbors invited (include name and address)
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Summary
of resident concerns
Mixed
Use Sketch Plan additional checklist
Traffic
Impact Analysis (TIA) - If required, an application can be obtained from the
Engineering Department (919) 469-4030.
Comprehensive Plan Amendment (complete
CPA portion of application)
Application
Form—1 paper copy with digital file. (If
the application is for a new/amended PDD submit 1 copy of the associated document/maps). Refer to page 8-9 for digital file
requirements.
Justification
Statement(s) (page 3)
Application
fee schedule (page 8)
Property
Survey (If any parcels are split)
Open
Space/Historic Resource Determination (if applicable)
Associated Annexation (Proof of
ownership must be provided; if a portion of a parcel, then a certified survey
of the entire parcel outlining the annexation portion is required)
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Town of Cary Mixed Use Sketch Plan
Requirements Checklist |
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Format |
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Plan
sheet size must be 24” X 36” |
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The
numerical scale can be no larger than 1” = 50’ |
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Provide a
graphical bar scale as well as numerical scale |
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Provide a
north arrow |
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The
Sketch Plan must be prepared by a professional engineer, land surveyor,
architect or landscape architect registered in the State of North Carolina |
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Plan sets
containing sheets must be collated and stapled. Match lines must be clearly indicated |
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Provide a
readable and accurate vicinity map designating the location of the site and
surrounding area |
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General Layout Plan |
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Include a
Site Data Summary Table showing what is required and proposed for all of the
following (where appropriate) |
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Project
name |
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Street
address (if known) |
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Total
area in site |
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Current
zoning |
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Parcel
Number |
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