HARRISON COUNTY PLAN COMMISSION
COUNTY OFFICE BUILDING 124 SOUTH MULBERRY CORYDON, INDIANA 47112 TELEPHONE 738-8927APPLICATION FOR A CHANGE IN ZONING FROM THE REQUIREMENTS OF THE HARRISON COUNTY ZONING ORDINANCE
DOCKET # ____________
DATE FILED __________
NAME OF APPLICANT_________________________________________________________________
ADDRESS OF APPLICANT:_________________________________________________________________
OWNER OF PROPERTY IN QUESTION:__________________________________________________________________
ADDRESS OF PROPERTY OWNER:_____________________________________________________________________
DESCRIPTION OF SITE IN QUESTION- ATTACH DEED.
REQUESTED ZONING FOR PROPERTY:______________________________________
OTHER INFORMTION:_______________________________________________________
HAS AN APPLICATION FOR A CHANGE IN ZONING HEREINTOFORE BEEN FILED WITH THE COMMISSION FOR THE SITE IN QUESTION? If so, give date___________
SIGNED:
(Applicant)_______________________________
OWNER_________________________________
AGENT__________________________________
PHONE NUMBER________________________
FEE: $75.00