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General Application Form
Select the appropriate type of application below. A $200 application fee is due prior to your application being processed.
Application Type
(Required)
Annexation
Planned Unit Development
Rezoning
Special Use Permit
Subdivision Plat Approval
Plat of Consolidation
Variances
Zoning Map / Text Amendment
Petitioner Information
Name
(Required)
Email
Address
(Required)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Primary Phone
(Required)
Secondary Phone
Status
(Required)
Owner
Contract Purchaser
Lessee
Other
Other Legal and Beneficial Owners
Name
Address
Phone
Add
Remove
Principal Consultant(s) (Attorney / Engineer)
Name
Address
Phone
Add
Remove
Project Information
P.I.N.
(Required)
Property Location
(Required)
Lot Size
Acres
Existing Zoning
Property Located in 100 year floodplain?
Yes
No
N/A
North
East
South
West
General Nature of the Request:
(Required)
Proposed Height / Setbacks
Provide measurements in feet
Height
Front
Rear
Left
Right
Proposed Ingress/Egress
Provide measurements in feet
Residential Lots (width)
Comm Lot (<200' frontage)
Comm Lot (>200' frontage)
Proposed Parking / Loading
Total Spaces
(including handicap spaces)
Loading Docks
(Industrial uses only)
Stacking Spaces
(drive-ups only)
Proposed Signs
Type
Pylon
Wall
Billboard
Gross Area
(square feet)
Letter Height
(inches)
Proposed Outdoor Storage
Proposed Outdoor Storage Type
Not Applicable
Enclosed by Fence / Wall / Plantings (see 602.9)
Other
Proposed Refuse Storage Enclosures
(for commercial & industrial uses only)
Height
(inches)
Bottom of Gate
(inches above base)
Self-Closing
Yes
No
Self-Latching
Yes
No
Is this a Repeat Application
(Required)
Yes
No
Please provide a statement justifying reconsideration of this application
Petitioner Acknowledgements
By execution of this application in the space provided below, the petitioner and owner of the project property do hereby certify, agree, and affirm that
Elected and appointed Village officers and employees have the right, and are hereby granted permission and license to enter upon the project property, and into any structures located thereon, at reasonable times for the purposes of conducting any inspections that may be necessary and pertinent to this application.
I (We) have carefully read this application, the Hainesville Zoning Ordinance, Comprehensive Plan, and Subdivision Ordinance and fully understand the terms and provisions of each.
I have researched the information contained in this application and it is true and complete to the best of my knowledge and belief.
I (We) waive any rights to exemption from disclosure under the Freedom of Information Act of any and all documents and information submitted in connection with this application.
I (We) agree to pay all fees and costs associated with the processing of this application.
Consent
I certify that the above application is true and correct.
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