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District of Columbia
Zip / Post Code
Commonly known location or address of the subject property is:
The person signing this application must have an ownership interest in this property. State what ownership interest the applicant has:
In the space below, if a partnership, name all partners; if a corporation, name all officers, directors, and shareholders that have more than 10% of the outstanding stock; if a Trust, name the Trustees and the Trust number, the date of the Trust, all the beneficiaries thereunder, the person or persons holding the Power of Direction, including the addresses of persons named.
Present Zoning Classification of this property:
The requested zoning change are:
Are there any covenants, conditions, or restrictions concerning the type of improvements, setbacks, area or height restrictions, occupancy or use limitations, etc. placed on the property of record? If yes, give the date of expiration for said restrictions and describe:
Has the property been the subject of previous or pending administrative, legislative, or court action? If yes, provide details.
Describe the building(s) on the property and occupancy at the present time.
Legal description of the subject property:
If this is a resubdivison, does it provide for ingress and egress per the current minimum Village requirements?
Does this re-subdivision propose any new streets?
If any, do they meet the Village requirements?
I acknowledge that by submitting this form I am providing my signature.