Peoria

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Conditional Use Permit Protest Form

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This form may be utilized to appeal a Planning and Zoning Commission decision on a Conditional Use Permit (CUP) to the Peoria City Council. The appeal must be filed with the Planning Department within fifteen (15) calendar days of the date of the Planning and Zoning Commission decision. The filing of an appeal is considered complete upon receipt by the Department.

Project Name or Case Number *

Address or Location *

Name *

Address *

Phone *

Email *

The appellant may designate someone to act as their representative during the CUP appeal process. This person (or “Representative”) shall attend public hearings, will receive agendas, staff reports, and will communicate all information provided by the City to the appellant.

Company *

Name *

Address *

Phone *

Email *

Please initial by each statement to acknowledge that you have read and understand each one.

I hereby certify that I am the appellant or am authorized by the appellant to file an appeal.

I hereby certify that all statements contained herein are true to the best of my knowledge.

I hereby appeal the Planning and Zoning Commission’s decision of the aforementioned case and request the case by forwarded to the Peoria City Council for consideration pursuant to Chapter 21 of the Zoning Ordinance.

Please explain why you feel the decision of the Planning and Zoning Commission was made in error. If approved, what specific Conditional Use Permit (CUP) criteria do you believe the project does not meet and why? If the CUP was denied, please explain why you believe the CUP criteria has been met.

Created by AIPSS

Peoria

Conditional Use Permit Protest Form

Case Information

Appellant Information

Representative Information

Appellant Information

Statement of Authority and Request For Appeal

Reason(s) for the Appeal