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AUG 10 2016 � Application Form Last Updated: April 8, 2014
"L PLANNING US ANTES' HOUSING Special Use Permit
GEPT.OF PLANNING�HOUSING
Application Form for a Proposed Use
in a Commercial Zone
(This form must be filled out completely before your application will be accepted.)
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'�1. Property Address for this Special Use Permit: �/9 1-liMOC/U LIA),
2. I (We) the undersigned, do hereby respectfully request the Ames Zoning Board of
Adjustment to grant a Special Use Permit for a proposed use in a "Residential Zone" to
allow ff,4LI&lOt.S LI/S'r/ n, V dA) 1A9�-/t1/ 71W f
at the property address listed above.
3. Legal Description (attach, if lengthy): &,(J f_ /1 /
4. Property Owner: 6tZt C6 ,2 l Gff Y-Se
Business:
Address: / V,4V r
(Street) (City) (State) (Zip)
Telephone:
(Home) (Business) (Fax)
5. Applicant: A121,CS 0y-,4,eL�
Business:Address: 61 MAA ,,r"1rrIF. S A-- Cj Bch/i)
(Street) (City) (State) (Zip)
Telephone: �f�= ��� --g Yoy
(Home) (Business) (Fax)
6. Contact Person: M" e A;oJ/J _otm-&etm
Business: �1
Address.�+ 1, &RtnA-A) AM J . -6101
(Street) (City) (State) (Zip)
Telephone: -YIL5- /!��0- 7Yov
(Home) (Business) (Fax)
E-mail address:
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Application Form Last Updated: April 8, 2014
This Special Use Permit will not be granted unless sufficient facts are presented with the
application, and at the Planning and Zoning Commission and Zoning Board of
Adjustment meetings to support a finding that all the general and specific standards for
granting a Special Use Permit have been met.
Obtaining this Special Use Permit does not absolve the applicant from obtaining all other
applicable permits, such as Building Permits, IDOT access permits, et cetera.
I (We) certify that I (we) have submitted all the required infonnation to apply for a Special Use
Pennit and that the infonnation is factual.
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Signed by: Date:
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Prop y Owner(s).
w,
Print Name -
(Note. No other signature may be substituted for the Property Owner's Signature.)
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Application Form Last Updated: April 8, 2014
Special Use Permit
Supporting Information for a Proposed Use
in a Commercial Zone
(This form must be filled out completely before your application will be accepted.)
The Zoning Board of Adjustment cannot approve a Special Use Permit unless all of the
"General Standards"and the "Commercial Zone Standards"are met. In order to facilitate
review of this application for a Special Use Permit, the applicant must address each of the
"General Standards", set forth in Section 29.1503, and in addition, the "Commercial Zone
Standards", set forth in Section 29.1503(4)(cj of the Zoning Ordinance.
(Note: The applicant's explanation of how the request meets each standard may be attached
on a separate sheet if sufficient space is not provided.)
1. General Standards. The Planning and, Zoning Commission and the Zoning Board of
Adjustment shall review each application for the purpose of determining that each proposed
use meets the following "General Standards", set forth in 29.1503(4)(a), and in addition,
shall find adequate evidence that each use in its proposed location will:
(a) Be harmonious with and in accordance with the general principles and
proposals of the Land Use Policy Plan(L UPP).
Explain how the request meets this standard.
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(b) Be designed, constructed, operated and maintained so as to be
harmonious in appearance with the existing or intended character of the
general vicinity and that such use will not change the essential character of
the area in which it is proposed.
Explain how the request meets this standard.
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Application Form Last Updated: April 8, 2014
(c) Not be hazardous or disturbing to existing or future uses in the same
general vicinity.
Explain how the request meets this standard.
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(d) Be served adequately by essential public facilities and services such as
highways, streets, police, fire protection, drainage structure, refuse
disposal, water and sewage facilities, and/or schools.
Explain how the request meets this standard.
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(e) Not create excessive additional requirements at public cost for public
facilities and services.
Explain how the request meets this standard.
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Application Form Last Updated: April 8, 2014
(f) Not involve uses, activities, processes,materials, equipment or conditions
of operation that will be detrimental. to any person, property or general
welfare by reason of excessive production of traffic, noise, smoke, fumes,
glare, or odors.
Explain how the request meets this standard.
(g) Be consistent with the intent and purpose of the Zone in which it is
proposed to locate such use.
Explain how the request meets this standard.
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Application Form Last Updated: April 8, 2014
2. Commercial Zone Standards. The Planning and Zoning Commission and the Zoning
Board of Adjustment shall review each application for the purpose of determining that each
proposed use in a commercial zone meets the "Commercial Zone Standards", set forth in
29.1503(4)(c), which are listed below, and shall find adequate evidence that each use in its
proposed location will:
(a) Be compatible with the potential commercial development and use of
property planned to occur in the area.
Explain how the request meets this standard.
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(b) Represent the sufficiently desirable need for the entire community that the
loss of commercial land is justifiable in relation to the benefit
Explain how the request meets this standard.
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(c) Be consistent with all other applicable standards in the zone.
Explain how the request meets this standard.
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Application Form Last Updated: April 8, 2014
Special Use Permit
(Proposed Use in a Commercial Zone)
Permission to Place a "Zoning Action Pending" Sign
on Private Property
(This form must be filled out completely before your application will be accepted.)
Section 29.1500(2)(d)(iii) of the Zoning Ordinance; requires that notice shall be posted by the
City on the subject property. One notice sign shall be posted for each property: Required
signs shall be posted along the perimeter of the subject property in locations that are highly
visible from adjacent public streets prior to the public hearing,
The owner of property at_ l f t l ACa661
of Ames permission to place "Zoning Action Pending"signs on the r,o/ert r fog grants the City
informing interested persons of the request for action by the City of Ames. y the purpose of
I understand that the signs will be placed on the property several days prior to action on the request by
the Planning and Zoning Commission,Zoning Board of Adjustment, or the City Council, and may remain
on the property until the request has been approved or denied by the City.
Signed by:
Pr Date:
Z'IOwner
Print Name
(Note: No other signature may be substituted for the Property Owner's Signature)
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