City of Washington
Department of Planning and Development
Rezoning Request Application

Page 1: Ownership, Property and Zoning Request Information
Date: Fee:
OWNERSHIP INFORMATION
Applicant Name:
Address:
Phone No.:
Applicant's Legal Interest in the Property:
Owner:
Address:
Phone No.:
Date Property Acquired: Deed Reference:
PROPERTY INFORMATION
Tax Map: Parcel Number:
Area (square feet or acres):
Current Land Use:
Location of Property:
ZONING REQUEST INFORMATION
Existing Zone: Requested Zone:
Reason for zoning change and a statement regarding the changing conditions, in the area and in the City, that makes the proposed amendment reasonably necessary to the promotion of the public health, safety and general welfare.
Continue to Page 2 of the Rezoning Request Application
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