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City of Oldsmar Application For Minor or Major Amendments

Steps

1. Step One This section is complete This section is incomplete
2. Notice to Applicant This section is complete This section is incomplete
3. Property Information This section is complete This section is incomplete
4. Certification This section is complete This section is incomplete

Step One

Date Received: ____________________
Application No: _____________________________
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Notice to Applicant

1. Processing will not be started, and the application will not be officially accepted until all the following items have been completed. The applicant of his/her authorized representative must be present at any requested meeting and any requested public hearing considering the application and it is the duty of the applicant or his/her authorized representative to obtain the time, date, and place of all public hearings and/or meetings at the Office of the City Clerk.
2. Electronic Plan Submittal: Please submit an electronic disc (CD) is PDF format containing the application, attachments, and all plans. In addition, submit four (4) paper copies of the same. (Additional copies may be requested.)
A. Application: The application must be complete and accompanied by the filing fee which is non-refundable, engineering fees if applicable, must also be paid at the time of submittal. FEE: $350.00. Time extension $175.
B. SITE PLAN: Folded, signed and sealed.
C. CONTIGUOUS LAND STATEMENT: State as to whether or not the owner applicant has a proprietary interest, or in any way has other contractual interest in any land which is contiguous to the land which is the subject of this request. If so, also attach a legal description of the property and identify as "Additional Land Holdings in the Area." State the interest in such land.
D. CERTIFICATE OF OWNERSHIP: Submit a certificate from a duly licensed title or abstract company or a licensed attorney-at-law showing that the owner is the present titleholder of record. (WARRANTY DEEDS, TITLE INSURANCE DOCUMENTS, TAX RECEIPTS, ETC., ARE NOT ACCEPTABLE AS PROOF OF OWNERSHIP).
E. CERTIFICATE FROM OWNER OF RECORD: Certificate from the owner of record that the applicant has the authority to submit this application if the applicant is not the property owner.
F. LIST OF SURROUNDING PROPERTY OWNERS WITHIN 200' ON MAILING LABELS: This may be obtained from the Pinellas County Property Appraisers Office.
G. LEGAL DESCRIPTION OF THE PROPERTY: Please include this with the application.
H. CERTIFIED BOUNDARY SURVEY OF THE PROPERTY: Survey must be current, within the last 12 months, and sealed.
APPLICANT/OWNER INFORMATION
Applicant Name
Phone
Mailing Address
Email Address:
Owner Name
Phone
Owner Mailing Address
Email Address:
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Property Information

Property Street Address
Legal Description
Present Zoning
Property Size
In acres
Provide a General Description:
(Number of units, density, land area, and type of commercial or industrial uses proposed)
Projected Date of Build-Out:
Projected Date of Build-Out:
Projected Completed Date of Each Project:
Projected Completed Date of Each Project:
Provide a specific description of the minor amendment action requested:
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Certification

I HEREBY CERTIFY that I have read and understand the contents of this application, and that this application together with all supplemental data and information is a true representation of the facts concerning this request; that this application is made with my approval, as owner and applicant, as evidenced by my signature below. It is hereby acknowledged that the filing of this application does not constitute automatic approval of the request; and further that if the request is approved, I will obtain all necessary permit permits and comply with all applicable orders, codes, conditions, rules and regulations pertaining to the use of the subject property.
X___________________________________________________________________
Signature of Owner or Owner's Authorized Representative
Date: _________________________