!["Conditional Use Permit Application Form" - Nebraska](https://data.templateroller.com/pdf_docs_html/10/102/10243/page_1_thumb.png ""Conditional Use Permit Application Form" - Nebraska")
1!["Conditional Use Permit Application Form" - Nebraska, Page 2](https://data.templateroller.com/pdf_docs_html/10/102/10243/page_2_thumb.png ""Conditional Use Permit Application Form" - Nebraska, Page 2")
2CONDITIONAL USE PERMIT
APPLICATION-FORM A
1. Applicant’s name
2. Applicant’s address
3. Telephone number (home)
(business)
4. Present use of property
5. Desired use of property
6. Request for Conditional Use Permit
Perpetual
Be issued for
years
7. Legal Description of property:
Street address and location
Legal Description
8. Area of subject property (sq. feet or acres)
9. Describe the general character of the area.
Signature of owner:
Signature of Authorized Agent:
309 N 5th Street; Norfolk, NE 68701
Rev: 05-2016
Return Completed forms to: Norfolk Planning Commission; 701 Koenigstein; Norfolk, NE 68701
Rev: 02-2004
Page 1 of 2
CONDITIONAL USE PERMIT
APPLICATION-FORM A
1. Applicant’s name
2. Applicant’s address
3. Telephone number (home)
(business)
4. Present use of property
5. Desired use of property
6. Request for Conditional Use Permit
Perpetual
Be issued for
years
7. Legal Description of property:
Street address and location
Legal Description
8. Area of subject property (sq. feet or acres)
9. Describe the general character of the area.
Signature of owner:
Signature of Authorized Agent:
309 N 5th Street; Norfolk, NE 68701
Rev: 05-2016
Return Completed forms to: Norfolk Planning Commission; 701 Koenigstein; Norfolk, NE 68701
Rev: 02-2004
Page 1 of 2
CONDITIONAL USE PERMIT
JUSTIFICATION-FORM B
1.
What is the present zoning?
2.
For what specific use are you requesting the permit?
Will it be necessary to build a new structure? Yes
No
3.
How is the proposed Conditional Use Permit compatible with adjacent properties?
4.
Give some reasons showing a need for the proposed use in this area
5.
Is screening or buffering required? Yes
No
If yes, explain the type
6.
Is the ingress and egress to the property and proposed structure adequate? Yes
No
If no, explain traffic flow solutions
7.
Are off-street parking and loading areas required? Yes
No
If yes, explain traffic flow
8.
How will the use affect traffic through residential areas or on adjacent major streets?
9.
Are any signs or exterior lighting required? Yes
No
If yes, explain
10. Are utilities property located? Yes
No
Explain location and closest availability
11. Is adequate sewer and water available as needed?
12. Will the required yards and other open spaces be observed with the permit?
Print
Reset
Return Completed forms to: Norfolk Planning Commission; 701 Koenigstein; Norfolk, NE 68701
309 N 5th Street; Norfolk, NE 68701
Rev: 05-2016
Rev: 02-2004
Page 2 of 2
Popular Articles
- Tiny House Laws in the United States Tiny House Laws in the United States
- How to Get a Building Permit After Buying Land? How to Get a Building Permit After Buying Land?
- How to Get a Mortgage - Home Loans, Land Loans, and Refinancing How to Get a Mortgage - Home Loans, Land Loans, and Refinancing
- How to Sell a House in the USA? How to Sell a House in the USA?
- How to Buy Land in the USA? How to Buy Land in the USA?
- USCIS Form I-551, Permanent Resident Card USCIS Form I-551, Permanent Resident Card
- Washington State Patrol Inspection Request Form Washington State Patrol Inspection Request Form
- Form MV-4ST, Vehicle Sales and Use Tax Return/Application for Registration Form MV-4ST, Vehicle Sales and Use Tax Return/Application for Registration
Most Popular Documents
-
DA Form 2062 "Hand Receipt/Annex Number"
-
DD Form 2977 "Deliberate Risk Assessment Worksheet"
-
DA Form 31 "Request and Authority for Leave"
-
DD Form 1750 "Packing List"
-
IRS Form W-2 "Wage and Tax Statement"
-
DD Form 1351-2 "Travel Voucher or Subvoucher"
-
DA Form 3595 "Record Fire Scorecard"
-
DD Form 2923 "Privacy Act Data Cover Sheet"
-
DD Form 2813
-
DD Form 2656 "Data for Payment of Retired Personnel"
![](https://www.pinterest.com/pin/create/button/?url=https://www.templateroller.com/template/10243/conditional-use-permit-application-form-nebraska.html&media=https://data.templateroller.com/pdf_docs_html/10/102/10243/conditional-use-permit-application-form-nebraska_big.png&description="Conditional Use Permit Application Form" - Nebraska Download Pdf){kind=small}
Most Popular Documents
-
DA Form 2062 "Hand Receipt/Annex Number"
-
DD Form 2977 "Deliberate Risk Assessment Worksheet"
-
DA Form 31 "Request and Authority for Leave"
-
DD Form 1750 "Packing List"
-
IRS Form W-2 "Wage and Tax Statement"
-
DD Form 1351-2 "Travel Voucher or Subvoucher"
-
DA Form 3595 "Record Fire Scorecard"
-
DD Form 2923 "Privacy Act Data Cover Sheet"
-
DD Form 2813
-
DD Form 2656 "Data for Payment of Retired Personnel"
Popular Articles
- Tiny House Laws in the United States Tiny House Laws in the United States
- How to Get a Building Permit After Buying Land? How to Get a Building Permit After Buying Land?
- How to Get a Mortgage - Home Loans, Land Loans, and Refinancing How to Get a Mortgage - Home Loans, Land Loans, and Refinancing
- How to Sell a House in the USA? How to Sell a House in the USA?
- How to Buy Land in the USA? How to Buy Land in the USA?
- USCIS Form I-551, Permanent Resident Card USCIS Form I-551, Permanent Resident Card
- Washington State Patrol Inspection Request Form Washington State Patrol Inspection Request Form
- Form MV-4ST, Vehicle Sales and Use Tax Return/Application for Registration Form MV-4ST, Vehicle Sales and Use Tax Return/Application for Registration
![](http://api.addthis.com/oexchange/0.8/forward/facebook/offer?url=https://www.templateroller.com/template/10243/conditional-use-permit-application-form-nebraska.html&title=Download and fill out "Conditional Use Permit Application Form" - Nebraska, and other ready-to-use templates.&description=Fill out, print and use this and thousands of other free templates at templateroller.com.&screenshot=https://data.templateroller.com/pdf_docs_html/10/102/10243/conditional-use-permit-application-form-nebraska_big.png&pubid=ra-5bab7ed006800266&ct=1)
![](http://api.addthis.com/oexchange/0.8/forward/twitter/offer?url=https://www.templateroller.com/template/10243/conditional-use-permit-application-form-nebraska.html&title=Download and fill out "Conditional Use Permit Application Form" - Nebraska, and other ready-to-use ...&via=templateroller&screenshot=https://data.templateroller.com/pdf_docs_html/10/102/10243/conditional-use-permit-application-form-nebraska_big.png&pubid=ra-5bab7ed006800266&ct=1)
![](http://api.addthis.com/oexchange/0.8/forward/pinterest_share/offer?url=https://www.templateroller.com/template/10243/conditional-use-permit-application-form-nebraska.html&title=Download and fill out "Conditional Use Permit Application Form" - Nebraska, and other ready-to-use templates.&description=Fill out, print and use this and thousands of other free templates at templateroller.com.&screenshot=https://data.templateroller.com/pdf_docs_html/10/102/10243/conditional-use-permit-application-form-nebraska_big.png&pubid=ra-5bab7ed006800266&ct=1)
![](http://api.addthis.com/oexchange/0.8/forward/reddit/offer?url=https://www.templateroller.com/template/10243/conditional-use-permit-application-form-nebraska.html&title=Download and fill out "Conditional Use Permit Application Form" - Nebraska, and other ready-to-use templates.&description=Fill out, print and use this and thousands of other free templates at templateroller.com.&screenshot=https://data.templateroller.com/pdf_docs_html/10/102/10243/conditional-use-permit-application-form-nebraska_big.png&pubid=ra-5bab7ed006800266&ct=1)
![](http://api.addthis.com/oexchange/0.8/forward/linkedin/offer?url=https://www.templateroller.com/template/10243/conditional-use-permit-application-form-nebraska.html&title=Download and fill out "Conditional Use Permit Application Form" - Nebraska, and other ready-to-use templates.&description=Fill out, print and use this and thousands of other free templates at templateroller.com.&screenshot=https://data.templateroller.com/pdf_docs_html/10/102/10243/conditional-use-permit-application-form-nebraska_big.png&pubid=ra-5bab7ed006800266&ct=1)
![](http://api.addthis.com/oexchange/0.8/forward/mailto/offer?url=https://www.templateroller.com/template/10243/conditional-use-permit-application-form-nebraska.html&title=Download and fill out "Conditional Use Permit Application Form" - Nebraska, and other ready-to-use templates.&description=Fill out, print and use this and thousands of other free templates at templateroller.com.&screenshot=https://data.templateroller.com/pdf_docs_html/10/102/10243/conditional-use-permit-application-form-nebraska_big.png&pubid=ra-5bab7ed006800266&ct=1)