Templates Real Estate Conditional Use Permit Application

Conditional Use Permit Application

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CONDITIONAL-USE APPLICATION PREPARATION WORKSHEET

Do not submit this worksheet to a government office unless that office expressly accepts it. Transfer verified information into the authority's current required form and attachments.

1. Local-Authority Gate

Item Verified entry
State [________________________________]
County / municipality [________________________________]
Planning, zoning, hearing, or other deciding body [________________________________]
Staff contact [________________________________]
Current application packet URL [________________________________]
Form title, number, and revision date [________________________________]
Zoning-code / ordinance provisions reviewed by local counsel [________________________________]
Pre-application meeting required or completed [________________________________]
Filing window or meeting-calendar cutoff [________________________________]
Fee and payment method [________________________________]
Required number and format of copies [________________________________]
Electronic filing method [________________________________]
Signature, notarization, owner-consent, or authorization requirements [________________________________]
Notice, posting, mailing, publication, or sign requirements [________________________________]
Environmental, historic, transportation, utility, or agency review [________________________________]
Hearing procedure and appeal route [________________________________]

2. Applicant and Authorization

Applicant

Field Entry
Legal name [________________________________]
Entity type and jurisdiction [________________________________]
Mailing address [________________________________]
Phone / email [________________________________]
Capacity ☐ Owner ☐ Tenant ☐ Contract purchaser ☐ Developer ☐ Authorized representative ☐ Other [____]

Property Owner

Field Entry
Legal name [________________________________]
Entity type [________________________________]
Mailing address [________________________________]
Phone / email [________________________________]
Ownership evidence [________________________________]
Signed authorization attached ☐ Yes ☐ Not required under verified packet

Project Team

Role Name / firm License or credential, if required Contact
Land-use counsel [____] [____] [____]
Planner [____] [____] [____]
Architect [____] [____] [____]
Engineer [____] [____] [____]
Surveyor [____] [____] [____]
Environmental consultant [____] [____] [____]
Traffic / other consultant [____] [____] [____]

3. Property and Existing Approvals

Item Entry
Street address [________________________________]
Assessor / tax parcel number [________________________________]
Legal description [________________________________]
Recorded owner [________________________________]
Site area and dimensions [________________________________]
Current zoning district [________________________________]
Overlay, special, historic, coastal, flood, or airport district [________________________________]
Future land-use / comprehensive-plan designation [________________________________]
Existing lawful use [________________________________]
Existing structures [________________________________]
Prior permits, variances, conditions, violations, or enforcement [________________________________]
Easements, covenants, access rights, or deed restrictions [________________________________]
Adjacent uses and zoning [________________________________]

4. Requested Use

Item Entry
Exact use requested [________________________________]
Local provision listing the use as conditional / special / discretionary [________________________________]
Existing use to remain [________________________________]
New construction or alteration [________________________________]
Project phasing [________________________________]
Requested duration ☐ Permanent ☐ Fixed term [____] ☐ Temporary / event [____]
Related applications ☐ Site plan ☐ Variance ☐ Subdivision ☐ Building permit ☐ Sign ☐ Other [____]

Operations

Operational fact Proposal
Public hours [________________________________]
Staff / shift count [________________________________]
Maximum occupancy, patrons, residents, students, or attendees [________________________________]
Deliveries and loading [________________________________]
Outdoor activity [________________________________]
Events [________________________________]
Noise, lighting, odor, vibration, dust, or emissions [________________________________]
Security and emergency operations [________________________________]
Waste and recycling [________________________________]

5. Site and Building Data

Metric Existing Proposed Local requirement / source plan
Lot area [____] [____] [____]
Building footprint [____] [____] [____]
Gross floor area [____] [____] [____]
Height / stories [____] [____] [____]
Front setback [____] [____] [____]
Rear setback [____] [____] [____]
Side setbacks [____] [____] [____]
Building / impervious coverage [____] [____] [____]
Parking spaces [____] [____] [____]
Accessible parking [____] [____] [____]
Loading / bicycle / other spaces [____] [____] [____]

Access and Circulation

  • Driveways and access points: [________________________________]
  • Pedestrian, bicycle, vehicle, emergency, and service circulation: [________________________________]
  • Sight distance and traffic control: [________________________________]
  • Transit and transportation-demand measures: [________________________________]

Utilities and Site Systems

System Provider / design Capacity or approval status
Water and fire flow [____] [____]
Sewer / septic [____] [____]
Stormwater [____] [____]
Electric / gas / communications [____] [____]
Solid waste [____] [____]

6. Local Approval Findings Matrix

Copy each required finding or standard verbatim from the current local packet or ordinance. Do not use a generic “public welfare” or “neighborhood compatibility” test unless the local authority actually requires it.

Local finding / standard and citation Project facts Plan / report / exhibit Missing evidence or mitigation
[________________________________] [________________________________] [________________________________] [________________________________]
[________________________________] [________________________________] [________________________________] [________________________________]
[________________________________] [________________________________] [________________________________] [________________________________]
[________________________________] [________________________________] [________________________________] [________________________________]

7. Environmental and Agency Review Inventory

These are issue-spotting fields, not statements that any review applies.

Topic Present / potentially affected Required review and authority Status
Wetlands / waters [____] [____] [____]
Flood hazard / drainage [____] [____] [____]
Habitat / species [____] [____] [____]
Historic / archaeological resources [____] [____] [____]
Contamination / hazardous materials [____] [____] [____]
Transportation [____] [____] [____]
Water / wastewater [____] [____] [____]
Fire / life safety [____] [____] [____]
State or federal permit [____] [____] [____]
Tribal consultation or other review [____] [____] [____]

8. Proposed Conditions and Mitigation

Do not volunteer a condition without analyzing feasibility, enforcement, duration, cost, transfer to successors, and interaction with other approvals.

Issue Proposed mitigation or condition Responsible party Verification / duration
[____] [____] [____] [____]
[____] [____] [____] [____]

9. Attachment Index

  • ☐ local government's completed application form
  • ☐ filing fee or payment confirmation
  • ☐ owner authorization and applicant authority documents
  • ☐ deed, title evidence, and legal description
  • ☐ survey and vicinity / zoning map
  • ☐ existing-conditions plan
  • ☐ site, grading, landscape, lighting, utility, drainage, and architectural plans required locally
  • ☐ project narrative and findings matrix
  • ☐ parking, traffic, noise, environmental, or engineering studies required locally
  • ☐ photographs and visual simulations
  • ☐ agency approvals or will-serve letters
  • ☐ neighborhood outreach record, if used
  • ☐ notice labels, mailing list, affidavits, or sign materials required locally
  • ☐ other current packet attachment: [________________________________]

10. Submission and Hearing Control

Control item Entry
Completeness review submitted [__/__/____]
Filing receipt / application number [________________________________]
Staff comments and response deadline [________________________________]
Revised materials submitted [________________________________]
Notice responsibility and proof [________________________________]
Hearing date, time, and location [________________________________]
Presentation and witnesses [________________________________]
Decision date and written findings [________________________________]
Conditions reviewed and accepted / challenged [________________________________]
Appeal or reconsideration date calculated by local counsel [________________________________]
Permit expiration, extension, vesting, recording, and follow-on permits [________________________________]

Final Verification

  • ☐ current local form and ordinance used
  • ☐ all required findings addressed with evidence
  • ☐ plans internally consistent and sealed where required
  • ☐ owner and applicant signatures valid
  • ☐ fee, copy count, format, and delivery method correct
  • ☐ notice and hearing requirements calendared
  • ☐ confidential or protected information handled correctly
  • ☐ conditions and appeal consequences reviewed by local counsel
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About This Template

Real estate documents transfer ownership, define who can use a property, and record agreements between buyers, sellers, landlords, and tenants. Deeds, purchase agreements, leases, and easements have to be drafted to meet state recording requirements, and mistakes show up at closing or years later in title disputes. Good real estate paperwork moves transactions forward quickly and avoids the kind of problems that only surface when it is time to sell or refinance.

Important Notice

This template is provided for informational purposes. It is not legal advice. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.

Checked against the law it cites

A reviewer verified this template's legal citations against the official source on 2026-08-20.

Last updated: 2026-08-20

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