duchesne county administration

Planning & Community Development Department


Application for Placement
on the Planning Agenda

PLACEMENT ON THE PLANNING AGENDA REQUIRES A COMPLETE APPLICATION. A COMPLETE APPLICATION CONSISTS OF: COMPLETED FORM, FEES, PLATS, DRAWINGS, & SUPPLEMENTS ETC., AS OUTLINED BY THE SUBDIVISION & ZONING ORDINANCE.

ADMINISTRATION
Assessor
Buildings and
  Grounds
Clerk-Auditor

County
  Commission
Duchesne County

  Information
  Services
Personnel
Planning and

  Community
  Development
Building Official
County Recorder
Surveyor
Treasurer
Records Retention

Type of Request Fees:
___Subdivision Plat
___Preliminary Plat # of lots___ $25.00 per lot $ _______
___Final Plat # of lots___ $25.00 per lot $ _______
___Field Inspection $ 100.00 $ _______
___Conditional Use Permit $ 125.00 $ _______
___Variance from Board of
      Adjustment
$ 125.00 $ _______
___*Zone Change $ 125.00 $ _______
___Amended Plat $ 125.00 $ _______

Totals:

$_________
Project Name:
Applicant:
Address: Phone #:
Property Owner(s):
Address: Phone #:
Location/Legal Description:
Nature of Request:
Current Land Use:
Proposed Land Use:
Title Report:
Date of Denial by Planning Commission:
* B-Road Access - Mandatory

The above said applicant for himself (herself) or through his (her) agent hereby agrees to be bound by all provisions of the Subdivision, Zoning, Conditional Use, or Variance Ordinances, of Duchesne County and to strictly comply with the terms thereof. He (she) further represents and representation made in of as part of this application are to the best of his (her) information and knowledge true and correct.

_________________________________________
Signature:
_________________________
Date:

 


Planning & Community
Development Department

734 North Center Street
P.O. Box 317
Duchesne, Utah 84021
(435) 738-1151
mhyde@co.duchesne.ut.us

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