Reviewed By: Date

Reviewed By: Date

Date: 4-8-2015

Putnam County Planning Commission

APPLICATION FOR REZONE

from the requirements of Section of the Putnam County Zoning Ordinance..

Applicant’s Name: ______

Applicant’s Home Address:______

Owner’s Name: ______

Owner’s Address:______

Premises Affected:______

Zoning Classification:______Zoning Request: ______

Detailed Statement of Reason(s) for application:__

AFFIDAVIT AND CONSENT OF PROPERTY OWNER

I (We)______after being first duly sworn, depose and say:

  1. That I/we are the owner(s) of real estate located at:______

2. That I/ we have read and examined the application for Rezone of the Putnam County Zoning Ordinance, and are familiar with its contents.

3. That I/we have no objections to, and consent to such request as set forth in the application.

4. That such being made by the applicant is/is not a condition to the sale or lease of the above-referenced property.

______

Owner

______

Owner

State of Indiana

SS:

County of

Subscribed and sworn to before me this day of , 20___

My Commission expires:

NOTARY PUBLIC

NOTICE OF PUBLIC HEARING

TO BE PUBLISHED IN THE NEWSPAPER

AND SENT TO ADJOINING PROPERTY OWNERS

Notice is hereby given that the Putnam County Planning Commission, on the _____ day of ______, 201_, at 6:00 p.m. at the Putnam Court House located at 1 Courthouse Square, Greencastle IN 46135, will hold a public hearing on a request by ______for consideration for REZONING.

Property Owner:______

Petitioner:______

Written suggestions or objections to provisions of said request may be filed with the Building and Planning Department at or before such meeting and will be heard by the board at the time and place specified. Said hearing may be continued from time to time as may be necessary. Interested persons desiring to present their views upon said request, either in writing or verbally, will be given the opportunity to be heard at the above mentioned time and place. Copies of the petition may be examined at the Building and Planning Office located at the Putnam County Hospital, 1542 S Bloomington Street, Suite 1500, Greencastle, IN 46135.

Interested persons may call the Building and Planning Department at (765)658-2786 on the day of the meeting before 3:30 pm to inquire if the meeting has not been cancelled or rescheduled.

______

Petitioner

CASE NUMBER:______

(NOTE: PLEASE SPECIFY REZONING)

AFFIDAVIT OF NOTICE OF PUBLIC HEARING

FOR CERTIFIED MAIL

FOR REZONING

BY PUTNAM COUNTY PLANNING COMMISSION

STATE OF INDIANA)

)SS:

COUNTY OF PUTNAM)

I/We do hereby certify that notice of public hearing by the Planning Commission of the County of Putnam to consider Case No.______being the application of______was registered and mailed to the last known address of each of the following persons:

Owner’s Name Address:

See Attached List

*Additional pages may be used for names and addresses

AND THAT SAID NOTICES WERE SERVED BY CERTIFIED MAIL on or before the______day of______201__, being at least ten (10) days prior to the______day of______201__, the date of the Public Hearing in the Putnam County Courthouse 1 West Washington Street, 1st Floor, Greencastle, IN 46135 at 6:00 p.m.

______

Petitioner

PROPERTY OWNERS AND ADDRESSES