APPLICATION FOR CHANGE OF ZONING
Doniphan County, Kansas

I.     GENERAL LOCATION OF PROPERTY

II.     LEGAL DESCRIPTION OF PROPERTY

III.     PRESENT ZONING

                 A-1, Agriculture
                 R-1, Single Family Residential                B-1, Neighborhood Business                         I-1, Planned Industrial
                 R-2, Two Family Residential                    B-2 Central Business                                    I-2, Limited Industrial
                 R-3, Multi-Family Residential                   B-3 General Business                                   I-3_Heavy Industrial
                  Other (Specify)                                       Highway Business                                      Q. Quary
 

IV.     CHANGE TO

                 A-1, Agriculture
                 R-1, Single Family Residential                B-1, Neighborhood Business                         I-1, Planned Industrial
                 R-2, Two Family Residential                    B-2 Central Business                                    I-2, Limited Industrial
                 R-3, Multi-Family Residential                   B-3 General Business                                   I-3_Heavy Industrial
                  Other (Specify)                                       Highway Business                                      Q. Quary

                 A-1, Agriculture
                 R-1, Single Family Residential                B-1, Neighborhood Business                         I-1, Planned Industrial
                 R-2, Two Family Residential                    B-2 Central Business                                    I-2, Limited Industrial
                 R-3, Multi-Family Residential                   B-3 General Business                                   I-3_Heavy Industrial
                  Other (Specify)                                       Highway Business                                      Q. Quary .
 

V.      PURPOSE FOR CHANGE OF ZONING REQUEST

VI.  IDENTIFICATION

       Name of Owner    
       Mailing Address    
       Phone                   

       Signature of Owner _______________________________________________      Date _____________________

FOR OFFICE USE ONLY

Date Received ______/______/_______                                                                                Publication Costs         $___________
                                                                                                                                               Public Hearing Fee       $___________
                                                                                                                                                             Total Due       $___________                          

Planning Commission Hearing Date ________________                                                         Notice Published _________________________
                                                                                                                                                                          _________________________         

Notice mailed to adjacent property owners _______________                                                Forward to Governing Body ____________________

Governing Body:
        Date of Meeting ______________              Action Taken:  ______Approve    ______Denied   _______Aye  _____ Nay
        Resolution Passed _________________________                           Ordinance Prepared_________________________
        Resolution Published ___________________________                   Ordinance Adopted_________________________
                                                                                                                 Ordinance Published_________________________