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