Action Center / Application for Special Use / Mulvane, Kansas

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This is an application for a special use. The form must be completed in accordance with directions on the accompanying instructions and filed with the Zoning Administrator.

* Denotes a required field

Name of applicant(s) and/or his/her agent(s). The owner(s) of all property requesting the special use must be listed.

Applicant*

Address*

City*

State*

ZIP*

Zip-Zip +4
Second portion of ZIP Code is optional.

Please Do Not Complete The Following Field

Phone*

Phone Area Code-Phone 3-Phone 4 ext Extension

Agent, If Any

Address

City

State

ZIP

Zip-Zip +4
Second portion of ZIP Code is optional.

Phone

Phone Area Code-Phone 3-Phone 4 ext Extension

Applicant*

Address*

City*

State*

ZIP*

Zip-Zip +4
Second portion of ZIP Code is optional.

Phone*

Phone Area Code-Phone 3-Phone 4 ext Extension

Agent, If Any

Address*

City*

State*

ZIP*

Zip-Zip +4
Second portion of ZIP Code is optional.

Phone

Phone Area Code-Phone 3-Phone 4 ext Extension

Use the space below, if necessary, for names of additional applicants.

What is the applicant requesting a special use to establish?*

Please provide details, such as, location, legal description of lot, subdivision, block, etc.

(If appropriate, metes and bounds description may be provided in the space below.)

Please describe the property. Feet in depth, by feet in width and acres. (round to the nearest tenth) or sq. ft. in area.*

Please provide the general location of the property. Address, street, cross streets.*

Is this property part of a recorded plat?*

Yes No

What is the property presently used for?*

Why are you requesting this Special Use?*

(We) the applicant(s), acknowledge receipt of the instructions and further state that I (We) have read the material. If an agent, I further state that I have or will provide the owner(s) of the property for which the special use is requested an explanation of or copy of this material. I (We) realize that this application cannot be processed unless it is complete and is accompanied by a current landownership list for the notification area and the appropriate fee. I (We) acknowledge that the Governing Body has authority to require such conditions as it deems necessary and reasonable in order to serve the public interest.

Signature of Applicant*

Signature of Applicant #2

Agent Signature

Please click submit when finished.

The City of Mulvane, Kansas

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Application for Special Use

Name of applicant(s) and/or his/her agent(s). The owner(s) of all property requesting the special use must be listed.

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