CHANGE OF ZONING Fee: $100 APPLICATION

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ROGERS COUNTY 200 S. Lynn Riggs Blvd., Claremore, OK 74017 918-923-4874 County staff to complete this section Case # Payment Received: Hearing Date: Time: 4:00 PM Meeting Location: City of Claremore-City Hall, City Council Chambers, 104 S. Muskogee CHANGE OF ZONING Fee: $100 APPLICATION DATE OF APPLICATION Please See attached application guidelines. All plans and surveys must be drawn to scale and noted on plans. Application must be submitted a minimum of thirty (30) days prior to the Planning Commission hearing. All documents larger than 8-1/2 x 11 must be folded to that size. Please submit one paper copy of the proposal in plan form and if possible one electronic copy in PDF format. The current property owner must sign the application. Name of Applicant (PRINT) Address City Zip Code Email or Fax Phone Name of Property Owner (PRINT) Address City Zip Code Email or Fax Phone Section Township Range County Parcel Number Acreage No. of Lots Name of the Title/Abstract Company for Notifications Legal Description of Tract (May be attached) Address of Property being rezoned Page 1 of 7

General Location Present Zoning Requested Zoning Intended use after rezoning Any private deed/plat restrictions on this property which might impact building setbacks, height or use? Yes No If yes, explain I HEREBY CERTIFY THAT THE INFORMATION HEREIN SUBMITTED IS COMPLETE, TRUE AND ACCURATE AND THAT I/WE HAVE BEEN NOTIFIED ON THE PROCEDURES AND GUIDELINES, INCLUDING PLATTING AND SITE PLAN REVIEWS IF REQUIRED AND ALL FEES AND CHARGES RELATED TO SITE IMPROVEMENTS, DEVELOPMENT AND BUILDING PERMIT COSTS. SIGNATURE OF APPLICANT DATE PRINT SIGNATURE OF PROPERTY OWNER DATE PRINT NOTE: IF DENIED BY AN APPEAL APPLICATION MAY BE FILED IN THE OFFICE OF THE COUNTY CLERK WITHIN (10) DAYS. THEN IF THE APPLICATION IS DENIED BY THE BOARD OF COUNTY COMMISSIONERS, NO NEW APPLICATION FOR THE SAME, OR SUBSTANTIALLY THE SAME ACTION, SHALL BE ACCEPTED BY THE COUNTY WITHIN ONE (1) YEAR OF THE DATE OF BOARD OF COUNTY COMMISSIONERS DENIAL. Subscribed and sworn to before me this day of, 20 My Commission Expires: SEAL (NOTARY PUBLIC) Page 2 of 7

DO NOT FILL THE FOLLOWING PAGES OUT The following pages are to be taken to the Abstract Company along with a copy of your Zoning Application AFTER Planning Commission has assigned a hearing date. NOTICE TO PROPERTY OWNERS FOR CHANGE OF ZONING APPLICATION The Rogers County Land Records indicate you are the owner of property located within three hundred (300) feet of the following described property, to-wit: (include address of property) The Owner of the above described property has applied for a change of zoning from to so they may use the property for:. A public hearing on this application will be held by CITY OF CLAREMORE-ROGERS COUNTY Metropolitan Area Planning Commission, whose address is 200 S. Lynn Riggs Blvd., Claremore, Oklahoma, 74017, telephone number 918-923-4874. This hearing will be held, 20 at 4:00 p.m. in the Claremore City Hall, City Council Chambers, 104 S. Muskogee Ave., Claremore, Oklahoma. You may appear, if so desired, either in person or by Agent or Attorney and be heard. The hearing of this appeal is not limited to those receiving copies of this notice and if you know of any neighbor or effected property owner, who for any reason failed to receive a copy, it would be appreciated if you would inform them of this hearing. BY: DATE: Page 3 of 7

SUGGESTED LEGAL NOTICE Published in the,, (Name of Newspaper) (City) OKLAHOMA, on, 20. (State) (Date) Pursuant to Title 19, O.S. Section 866.1 to 866.36 a public hearing will be held by the CITY OF CLAREMORE-ROGERS COUNTY Metropolitan Area Planning Commission on,, 20 at 4:00 in the Claremore City Hall, 104 S. Muskogee Ave., City Council Chambers, Claremore, Oklahoma, to hear the application of: to rezone the following described property, to-wit: (Insert complete legal description in this space & address of property) The Present Zoning is: Zoning Requested: Those who may have an interest in the above described matter may appear and be heard. BY: NOTE TO APPLICANT: State Law requires this legal notice include a map containing enough detail that the public will be able to determine the subject property location. Page 4 of 7

TO: CITY OF CLAREMORE-ROGERS COUNTY METROPOLITAN AREA In the matter of the application of ) FILE# ) (Applicant) AFFIDAVIT OF MAILING I, of lawful age and being first duly sworn upon oath state; that I did on the day of, 20, at the request of the CITY OF CLAREMORE-ROGERS COUNTY Metropolitan Area Planning Commission, mail and deposit in the United States Post Office at Claremore, Oklahoma, with postage thereon prepaid, correct and true copies of Notice to Property Owners, to all owners of record of property within three hundred (300) feet of the property that is the subject of this application, at their last know mailing addresses as follows, to-wit: NAME ADDRESS 1. 2. 3. *******SEE ATTACHED******* 4. 5. Dated this day of, 20. (ABSTRACTOR-AGENT) Subscribed and sworn to before me this day of 20. SEAL (NOTARY PUBLIC) My Commission expires: Commission Number Page 5 of 7

CITY OF CLAREMORE-ROGERS COUNTY METROPOLITAN AREA Specifications for Posting Official Notice: The size of the sign imparting notice of public hearing will be four (4) feet by three (3) feet and will have yellow background with black letters, capital block style, stating the following information: NOTICE TO THE PUBLIC IT IS PROPOSED TO CHANGE THE ZONING CLASSIFICATION OF THIS PROPERTY 2-1/ FROM: 1/ Zoning TO: 2/ Zoning FOR 3/ A PUBLIC HEARING WILL BE HELD AT CLAREMORE CITY HALL, CITY COUNCIL CHAMBERS ON 4/, AT 4:00 PM BY THE CITY OF CLAREMORE-ROGERS COUNTY METROPOLITAN AREA 1-1/ 1-1/ PHONE 918-923-4874 Signs will be posted in a clear opening on a building or a post not less than twelve (12) inches nor more than forty-eight (48) inches from the ground on or within thirty (30) feet of the property line. The sign shall be in full view from the public street or streets toward which it faces. 1/ Current Zoning 3/ Proposed use of Property 2/ Desired Zoning 4/ Date of Hearing Page 6 of 7

APPLICATION GUIDELINES FOR CHANGE OF ZONING ROGERS COUNTY ZONING ORDINANCES CHAPTER 20 SECTION 2003 TIME FOR FILING: Each Application shall be filed with the Planning Commission at least thirty (30) days prior to the date of the public hearing at which it is to be considered, unless the Planning Commission by a two-thirds (2/3) vote permits a shorter period for reasons shown. FILING FEE: $100.00 Payable on presentation of application to the Rogers County Planning Commission. NOTICE Of such hearing shall be published in a newspaper of general circulation in the locality at least one (1) time fifteen (15) days prior to the hearing. Written notice must be sent at least twenty (20) days prior to the hearing and be sent to all owners of real property included in the proposed change and all owners of real property within a 300 foot radius of the exterior boundary of the property. Notice shall also be given by the posting of a sign whose dimension, design, content and location shall conform to specifications established by the Planning Commission at least seven (7) days prior to and including date of public hearing. Sign must be legible from public thoroughfare. If property is inaccessible to public thoroughfare, two (2) signs must be posted, one (1) on the access leading to property. The applicant will file a completed Affidavit of Mailing, prepared by a licensed Abstractor, with the Planning Commission. Failure to file the Affidavit of Mailing within the allotted time, or if the mailing list is found to be incorrect, may be grounds for the Commission to deny the application. Mailings of Notice to Property Owners will be mailed to all owners of record, at their last known mailing address, of property within three hundred (300) feet of the affected property. Plot plans, photographs and other factual information and evidence which will help the Commission reach an intelligent decision must be attached. ------------------------------------------------------------------------------------------------------------------------------- Regular meetings of the City of Claremore-Rogers County Metropolitan Area Planning Commission are held on the FIRST and THIRD TUESDAY of each month. The meetings are called to order at 4:00 p.m., in the CLAREMORE CITY HALL, 104 S. MUSKOGEE AVE., CITY COUNCIL CHAMBERS, CLAREMORE, OK. Page 7 of 7