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Application - Zoning Dispute RequestRevised 10/11/06 Zoning District Dispute Application - Page 1 of 1 City of La Vergne, Tennessee Planning Department 5089 Murfreesboro Road, La Vergne, TN 37086 ♦ (615) 213-8702 ZONING DISTRICT DISPUTE APPLICATION For a Zoning District Dispute 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 showing the property. 3. Tax Map and Parcel Number, Address (if any), and Subdivision name (if any). 4. Evidence showing proof that the zoning district in question is not as shown on the draft map (i.e. plat, ordinance, site plan, legal documentation, etc.) SECTION 1 - Applicant Information (Any Correspondence from the City will be addressed to the applicant.) Name: ___________________________________ Phone #: ________________________ Business: ________________________________ E-Mail: __________________________ Address: _________________________________ Best Way to Contact: ______________ (Mail, E-Mail, Phone) City: __________________ State: _____ Zip: __________ Applicant’s Signature: ____________________________ Date: _______________ SECTION 2 - Property Information for the Zoning District Dispute Request Tax Map and Parcel: _________________________________________________________ Street Address: _____________________________________________________________ Draft Zoning Map Zoning District Designation: ___________________________________ Zoning District per Applicant’s Evidence: ________________________________________ Property Owner (if different that applicant): ______________________________________ OFFICE USE ONLY Date Submitted: ____________________ Staff Findings: _______________________________________________________________ ____________________________________________________________________________ Staff Recommendation: _______________________________________________________ ____________________________________________________________________________