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THIS CHANGE OF ZONE APPLICATION MUST 13E ACCOMPANIED BY THE FOLLOWING: I. A filing fee of five hundred dollars ($500) plus twenty-five dollars ($25) per lot or unit proposed by the amendment. (Checks shall be made payable to the County Director of Finance) 2. An original and twenty (20) copies of this completed application and the appropriate Departmental Zoning Questionnaire. 3. An original and twenty (20) copies of a Background and County Environmental Report to include information as listed on the attached form. Note: A County Environmental Report shall not be required for an application where an Environmental Impact Statement or Environmental Assessment have been completed and filed with the Office of Environmental Quality Control in compliance with HRS, Chapter 343, Environmental Impact Statements. 4. An original and twenty (20) copies of a location map. 5. An original and twenty (20) copies of a scale-drawn plot plan of the property showing property lines; all existing and proposed structures, uses and improvements; proposed subdivision; and reference points such as roadways, shoreline, etc. 6. One copy of a full-size (2' x 3') scale-drawn plot plan of Item 5 for presentation purposes. 7. A list of the names, addresses and tax map keys of all owners and lessees of record of surrounding properties who are required to receive notice. Note: Legal description of the property in map and written form by metes and bounds as certified by a surveyor shall be submitted to the Planning Department, promptly, upon receipt of the notice from the Planning Director that a public hearing has been scheduled. FORMS - 4/15/97 (f:\wp60\f6rms\pd\zoneapp1.skg)