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13 <br /> REZONING REQUEST CHECKLIST ' <br /> O I <br /> 1. Owner's Name <br /> 2. Address <br /> 3. Current Zoning <br /> 4. Total Number of Acres <br /> 5. Current land Use <br /> 6. Type of Rezoning request <br /> 7, Proposed land use <br /> 8. Tax Map# <br /> 9, Block# <br /> 10: Number of lots <br /> 11. Proposed Water Supply: <br /> Public Community Individual <br /> 12. Proposed Sewage Treatment: <br /> Public Community Individual septic tank <br /> 13. Access onto state road# <br /> 14. Average daily traffic count on the state road <br /> 15.. Describe existing critical areas: <br /> Flood prone areas <br /> Poorly drained areas <br /> Streams <br /> Other sensitive areas <br /> 16. Describe land uses in: <br /> General Area <br /> Adjacent parcels of land <br /> Attachment 1 <br /> Application Procedures <br /> OW Sawn/Rv ing Chmklist - and Timelines <br />