Administrative Development Plan Application
Site Acquisition Specialist Information
Company Name
Contact
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Telephone
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Phone Number with Area Code
Format: (000) 000-0000.
Address
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City/State/Zip
*
Email
*
example@example.com
Owner Information
Company/Owner Name
*
Contact
*
Address
*
City/State/Zip
*
Telephone
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Phone Number with Area Code
Format: (000) 000-0000.
Email
*
example@example.com
Property Information
Legal Description
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Present Land Use
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CUP No.
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Resolution No.
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Address of Property
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Site Size
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Present Improvements or Structures
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Proposed Use Information
Present Zoning District
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Proposed Land Use
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Reason for Requesting Administrative Development Plan Approval
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I, the undersigned am the (choose one) of the aforementioned property situated in the unincorporated portion of Johnson County, Kansas. By execution of my signature, I do hereby Officially apply for an Administrative Development Plan Permit as indicated above.
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Owner
Duly Authorized Agent
Signature
*
If you can’t sign above, please type your name in this box. It will serve as your digital signature.
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Date
*
Please Print Name
*
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