HomeMy WebLinkAboutAnnexation ApplicationCity of South Bend
Petition for Annexation and Rezoning
or Combined Public Hearing
Page 1 of 2
Tax Key Number:
Property Address:
Property Owner:
Legal Description of Annexation Area: (include any adjacent rights of way not already in the City)
Project Summary
Rezoning
Current Zoning District (County):
Proposed Zoning District (City):
The Plan Commission and Council will consider the following in the review of a rezoning petition:
(1) The comprehensive Plan;
(2) Current conditions and the character of the current structures and uses in each district;
(3) The most desirable use for which the land in each district is adapted;
(4) The conservation of property values throughout the jurisdiction; and
(5) Responsible development and growth.
Additional Requested Actions (check all that apply and include additional required documentation)
☐ Subdivision - complete and attach Subdivision Application ☐ Special Exception - complete and attach Criteria for Decision Making ☐ Variance(s) – list variances below, complete and attach Criteria for Decision Making
Property Information
County Zoning Map at: https://www.sjcindiana.com/996/Zoning-Map City Zoning Map at: https://southbendin.gov/zoning
Additional Districts, if applicable
Additional Districts, if applicable
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Annexation Application Checklist
☐1. Completed Application Form☐2. Site Plan (drawn to scale)☐3. Subdivision Application (if required)☐4. Criteria for Decision Making (if required)☐5. Filing Fee
Contact Information
Name:
Address:
Phone Number: Email:
Property Owner Information (attach additional ownership list on separate page, if necessary)
Property Owner:
Property Owner Address:
Property Owner:
Property Owner Address:
By signing this petition, the Petitioner/Property Owner(s) of the above described Real Estate acknowledge(s) they
are responcible for understanding and complying with the South Bend Zoning Ordinance and any other ordinance
governing the property. Failure of staff to notify the petitioner of a requirement does not imply approval or waiver
from anything contained within the ordinance.
The undersigned authorizes the contact person listed above to represent this petition before the South Bend Plan Commission and Common Council and to answer any and all questions related to this petition.
Property Owner Signature Property Owner Name Printed Date
Property Owner Signature Property Owner Name Printed Date
Completed applications should be submitted in one of the following ways:
Email: zoning@southbendin.gov
Mail: 215 S Dr. Martin Luther King Jr Blvd., Suite 500, South Bend, IN 46601