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2. Land Use Inquiry Form
   This form should be completed first. After you receive approval from the Planning Department, you may then proceed to the second step in the process.
4. Information Requested By:
6. Name:
7. Email Address:
9. Title:
   Interest in Property i.e. Owner, Realtor, etc.
11. Street Address:
12. Choose One:
    -- Select One --WorkHome
14. City
15. State
16. Zip Code
18. Mailing Address:
19. Choose One:
    -- Select One --WorkHome
21. City
22. State
23. Zip Code
25. Phone Number:
26. Fax Number:
28. Street Address for the subject property in question:
30. Subdivision (if acreage, attach a legal description):
32. Legal Description File:
34. Map/Parcel Number:
35. Lot(s):
36. District:
38. What is the intended Land Use?
40. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
42. Electronic Signature
43. Date/Time:
    Date/Time:

    Date/Time:
47. For Staff Use Only (Do Not Enter Information)
    Once you have electronically signed, please scroll to the bottom of the form and submit. Thank you!
49. Variance Required:
50. Landuse:
52. Additional Comments:
54. Reviewed by:
56. First Name
57. Last Name
59. Title:
60. Date/Time:
    Date/Time:

    Date/Time:
Leave This Blank:


62. 1. Receive an email copy of this form.
63. Email address

    This field is not part of the form submission.

64. Submit Submit and Print

* indicates a required field