General Application Form - Village of Hainesville Village of Hainesville

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)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Primary Phone(Required)

Secondary Phone

Status(Required)

Owner

Contract Purchaser

Lessee

Other

Other Legal and Beneficial Owners

Name

Address

Phone

Principal Consultant(s) (Attorney / Engineer)

Name

Address

Phone

Project Information

P.I.N.(Required)

Property Location(Required)

Lot Size

Acres

Existing Zoning

Property Located in 100 year floodplain?

Yes

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

Self-Latching

Yes

Is this a Repeat Application(Required)

Yes

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.