SPECIAL EVENT APPLICATION

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FORD COUNTY PLANNING/ZONING/ENVIRONMENTAL HEALTH 100 GUNSMOKE, DODGE CITY, KS 67801 (620) 801-4288 SPECIAL EVENT APPLICATION This is an application for a Special Event Permit. The form must be completed and filed at the Office of the Planning Zoning Director in accordance with directions on the accompanying instruction sheet. AN INCOMPLETE APPLICATION CANNOT BE ACCEPTED. 1. Name of applicant or applicants (owner(s) and/or their agents). All owners of all property requested to be permitted must be listed in this item. A. Applicant/Owner Address Address phone B. Applicant/Owner Agent C. Applicant/Owner Agent 2. The Applicant hereby requests a Special Event Permit for the property legally described as 3. This property is located at (address) 4. I request this Special Event Permit for the following reasons:

5. What is the length of time and dates that the property is being used for a special event? _ 6. What kind of attendance do you anticipate? _ 7. What kind of structures, signs or attention-attracting devices will be used for this special event? _ 8. A sketch plan showing the location of the proposed activities, structures and signs in relation to existing buildings, parking areas, streets and property lines. 9. A letter from the property owner or manager, if different from the applicant, agreeing to the special event. 10. I, (We), the applicant(s), acknowledge receipt of the instruction sheet explaining the method of submitting this application. I/(We), realize that this application cannot be processed unless it is completely filled in, is accompanied by a Certified Ownership list and is accompanied by the appropriate fee. (owner) (owner) By Authorized Agent, if any Authorized Agent, if any ***********************FOR OFFICE USE ONLY************************** This application was received at the office of the Planning, Zoning Director at (AM)(pm) on, 20. It has been checked and found to be complete and accompanied by required documents and the appropriate fee. Date Mark Shriwise, Director

The following questions are required to be answered and submitted along with the application: If additional space is needed, please attach indicating number of questions. 1. What is the character of the neighborhood and/or area to the North, East, South and West in question? 2. What is the suitability of the property in question for the uses to which it has been restricted? 3. What is the extent to which removal of the restriction will destructively effect nearby properties? 4. What else do you feel the Ford County Commissioners and/or Zoning Board should know concerning your property and your intended use there of.

FORD COUNTY PLANNING/ZONING/ENVIRONMENTAL HEALTH 100 GUNSMOKE, DODGE CITY, KS 67801 (620) 227-4739 CONDITIONAL USE / DEVELOPMENT PLAN APPLICATION This Form must be completed and filed at the office of the Zoning Administrator. AN INCOMPLETE APPLICATION CANNOT BE ACCEPTED. 1. Name of applicant or applicants (owner(s) and/or their agent(s)). All owners of all property that this application pertains to must be listed. Owner Address Phone Agent/Applicant Address Phone (Use separate sheet if necessary for name of additional owners/applicants) 2. The applicant hereby requests a Conditional Use Permit for the property legally described as (Metes and bounds descriptions shall be provided in the space below or on an attached sheet.) 3. This property is located at (address) 4. I request this Conditional Use and/or Development Plan Approval for the following reasons (Do not include reference to proposes uses for rezoning)

(over) 5. Proposed landscaping on property (attach sheet if necessary) Please Provide Name/Address Of The Following Services:(If Applicable) 6. RURAL WATER DISTRICT: 7. RURAL SEWER DISTRICT: 8. TOWNSHIP: I (We), the applicant(s), acknowledge receipt of the instructions explaining the method of submitting this application. I (We) realize that this application cannot be processed unless it is completely filled in and is accompanied with a certified ownership list and the appropriate fee. 9. Owner Owner Authorized Agent (if any) Authorized Agent (if any) ******************************OFFICE USE ONLY***************************** This application was received at the office of the Zoning Admistrator at (AM, PM) on day of,. It has been checked and found to be complete and accompanied by the required documents and the appropriate fee of. Name Title