City of O’Neill, Nebraska
THIS SECTION TO BE FILLED OUT BY APPLICANT:
1.
The undersigned hereby applies for authorization of a conditional
use to established the following use (describe proposed use): _________
_______________________________________________________________________________________________________________
on the following real estate (provide legal description of
real estate on which proposed use is to be located): ________________________
_______________________________________________________________________________________________________________
2.
If the applicant IS NOT the owner of the above described real
estate, provide the name and mailing address of the owner(s):
_________________________________ _______________________________________________________________________
Name (please print)
Street, City, State and Zip Code
3.
The type(s) of land use existing on ALL property abutting the
above described real estate:
North ___________________ South ___________________
East ____________________ West ____________________
4. In the area indicated below, sketch a site plan (or attach a
drawing) which depicts the proposed use and attach additional information which describes the proposed use which includes
ALL of the following information (check each item when completed):
____ The size, capacity and location of all existing and proposed buildings
and structures to be involved in the proposed use and the distances from the
rights-of-way lines of all abutting streets (indicate name of streets),
property lines and the distance between buildings and structures,
____ The locations and widths of any easements
affecting the real property involved,
____ The locations of proposed driveways from
the street(s) serving the property involved,
____ The number, size and location of parking
spaces required and, if applicable, any required loading areas,
____ The type and location of any refuse collection
and storage facilities,
____ An indication any area subject to flooding
and proposed surface drainage onto, through and off of the property involved,
____ The type, size and location of all signs
and the location, type and height of any outdoor lighting proposed,
____ The location and type of any landscape screening proposed.
SKETCH SITE PLAN HERE:
I hereby certify that I have the legal authority to file this application,
that I have completed and examined this application and know the same
to be true and correct. I also certify that all
provisions of law and other regulations governing the type of construction
/ development/ use
proposed in this application will be complied
with, whether or not specified in this application, including all applicable
state codes. I further
certify that I have paid the required application
fee and that I understand that this fee is non-refundable.
__________________________________ _____________________________________________
________________
Name of Applicant (please print) Street
Address (please print)
Telephone
_________________________________ _____________________________________________
________________
Signature of Applicant
City / State / Zip Code (please print)
Date of Application
THIS SECTION TO BE COMPLETED BY ZONING ADMINISTRATOR:
1. Application No. _______, 20____
2.
Date application received: ___________, 20____
3.
Application fee of $__________ paid by applicant
4.
Legal Notice of City Council public hearing published and property
posted at least ten (10) days prior to date of public hearing: ___Yes
5.
Public hearing by City Council conducted on _______________, 20_____
6.
Decision of the City Council:
____ Approval of conditional use as presented
____ Approval of conditional use with conditions (list conditions): _________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
_____________________________________________________________________________________________
____ Disapproval of conditional use (list reason(s) for disapproval): ________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
_____________________________________________________________________________________________
7.
Notice of action of the City Council mailed to applicant on ______________,
20____
8.
If approved, zoning permit for use proposed was issued with any
applicable conditions noted on said permit on ____________, 20____
_____________________________________________
Signature of Zoning Administrator
