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Application - Rezoning RequestRezoning Request Application Page 1 of 2 City of La Vergne, Tennessee 5093 Murfreesboro Road, La Vergne, TN 37086 ♦ (615) 793-6295 REZONING REQUEST APPLICATION For a Rezoning Request, the City of La Vergne requires the following: 1. Completion of this application. Please type or print the information in blue or black ink. 2. A map of the property. (See Zoning Ordinance for Specific Details.) 3. A label matrix with a list of Names and addresses of all adjacent property owners within 500 feet. 4. A legal description of the property, if available. 5. If the applicant is not the property owner, a letter from the property owner must be attached giving the applicant the authority to request rezoning. 6. A letter summarizing the project proposal, including the proposed usage of the land, reason for the rezoning request and justification for the rezoning request. 7. Payment of a Non-Refundable $300.00 application fee. (Checks should be made payable to “City of La Vergne”) Request No. _______________ Date Submitted: _______________ (Assigned by the City Recorder) SECTION 1 - Applicant Information (Any Correspondence from the City will be addressed to the applicant.) Property Owner Purchaser of Property Engineer Trustee Architect Other: _______________________ Name: ___________________________________ Phone #: _________________________ Business: ________________________________ E-Mail: ___________________________ Address: _________________________________ Best Way to Contact: _______________ (Mail, E-Mail, Phone) City: __________________ State: _____ Zip: _________ SECTION 2 - Property Information for the Rezoning Request Tax Map Parcel(s) Current Zoning District Requested Zoning District # of Acres Property Owner *** Reason for Rezoning must be included on an attached sheet. Rezoning Request Application Page 2 of 2 Project Name: _______________________________________________________________ Project Address: _____________________________________________________________ Existing Land Use: ___________________________________________________________ Proposed Land Use: __________________________________________________________ Total Acreage of Project / Rezoning: ____________________________________________ The rezoning process takes approximately three to four months depending on when the application is received by the City. The request must go to the Planning Commission where it receives a recommendation to the Board of Mayor and Aldermen. The Board of Mayor and Aldermen must approve a Rezoning Ordinance on two readings and hold a public hearing before the rezoning request is considered approved. Applicant’s Signature: ________________________________ Date: ________________