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2. Applicant Information
4. First Name*
5. Last Name*
7. Street Address*
9. City
10. State
11. Zip Code
13. Phone Number*
14. Email Address
16. Are the owners of the referenced real estate other than the applicant named above?

    1. Yes
    2. No
20. Is this joint tenancy?

    1. Yes
    2. No
22. First Name of Property Owner
23. Last Name
25. Address
27. City
28. State
29. Zip Code
31. Is applicant or owner incorporated?*

    1. Yes
    2. No
32. If yes, attach a list of the names addresses of officers, directors and holders of stock or shares in excess of 20%*
34. Is this for a business applicant?*

    1. Yes
    2. No
35. If yes, upload the true and actual name and address of the owner. *
37. Is this a partnership or voluntary association syndicate?*

    1. Yes
    2. No
38. If yes, upload a list of names and address of all owners.*
40. For entities governed by governing boards, attach a copy of the Board Resolution or Board Minutes authorizing the governing board’s approval to carry out the requested project, and to authorize the submission to the City by a designated entity officer of the specific request/application, is required to be submitted as an attachment.
42. List the designated person(s) that will represent (spokesperson) the owner/applicant along with contact information.
44. List the legal representative (licenses to practice law in the State of Illinois) of applicant (if any).
46. First Name
47. Last Name
49. Street Address
51. City
52. State
53. Zip Code
55. Phone Number
56. Email Address
58. List the number of the ordinance, particular section of the ordinance etc., which allows your request.
60. What is the legal address and postal address of the real estate named in the application for a zoning change amendment?
62. Street Address
64. City
65. State
66. Zip Code
68. Has this matter been presented to the Planning Commission before?

    1. Yes
    2. No
70. If yes, what were the results?
72. Are there any zoning requirements or other regulations that are currently or will be presented to another board, commission or agency etc. that may affect your request that is being presented before the Planning Commission?

    1. Yes
    2. No
74. If yes, please explain.
76. Reason for request giving proposed use of property if zoning change is granted.
78. Person or persons to occupy property under proposed use and their relationship to the owner.
80. Is a mobile home or other existing structure involved in the request?

    1. Yes
    2. No

    If yes, mobile home or structure must be inspected by the Building Inspector.
82. Mobile Homes must conform to the standards in Illinois Mobile Home Safety Act. No mobile home shall hereafter be brought into this municipality unless said home conforms to the construction safety standards adopted by the State of Illinois in the Mobile Home Safety Act, Ch. 67 1/2 Ill. Rev. Statue, 501-515/1. (Now 430 ILCS 115/1 vi sec) The Illinois Manufactured Housing and Mobile Home Safety Act went into effect July 1, 1974, and mobile homes manufactured before that date do not comply with its provisions.
84. If there will be new construction, has the Building Inspector of the City of Litchfield been issued copies of the planned construction?

    1. Yes
    2. No

    An inspection by the City Building Inspector of the property named in the application will be required.
86. If no, please explain.
90. The real estate named in the application for zoning change must be properly posted according to Ordinance of the City of Litchfield.

92. Real estate must be posted; public notice must be published a minimum of 1 time, not more than (30) days nor less than (15) days prior to the public hearing of the Planning Commission.  Petitioner must purchase from the City Clerk a minimum of two public notification posters concerning the application; one to be posted at City Hall and the other on the property for which the zoning change is being requested. The cost is included in the overall fee.

94. An inspection fee and a filing fee of $110.00 will be required with the return of this application to the Office of the City Clerk, City of Litchfield, Montgomery County, Illinois.
96. Name
    Inspection Fee
97. Price
98. Quantity
99. Shipping Cost
101. Taxable
103. Petitioners may want to prepare maps, drawings, and plans or use photographs in presenting the application to the Planning Commission.
105. Signatures of neighboring property owners may be presented at the hearing, and should be presented for signature as follows:
107. Signatures must include property owners of property on all four sides: North, South, East and West, of the block on which the property is located, as well as the signatures of all property owners on the opposite side of the street immediately facing said property. Other signatures from the area are acceptable as well.
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109. 1. Receive an email copy of this form.
110. Email address

     This field is not part of the form submission.

111. Submit

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