Future Land Use Map Amendment

First Name *

Last Name *

Email *

Phone Number *

OWNER INFORMATION

First Name *

Last Name *

Email

Phone Number

SITE INFORMATION

Parcel ID *

Address

Gross Acreage

Current Use

Proposed Use

Existing Future Land Use Designation

Proposed Future Land Use Designation

Existing Zoning District

Proposed Zoning District

ADDITIONAL INFORMATION

Information about the request

Relevant site history