ADMINISTRATIVE
LAND
USE
APPLICATION
HOOD
RIVER
COUNTY
COMMUNITY
DEVELOPMENT
601
State
Street
____________
Hood
River,
OR
97031
File
No.:
JOHN ROBERTS,
DIRECTOR
PHONE
541-387-6840
Date
received:
FAX
541-387-6873
Date
issued:
us
TYPE
OF
LAND
USE
PERMIT:
Dwellings:
Conditional
Use:
El
Farm
Operator
Dwelling
LI
Non-
Farm
Dwelling
El
Plan
and Zone
Change
Income
_Acreage
El
Dependent
Relative
Dwelling
El
Planned
Unit
Development
El
Relative
Farm
Dwelling
El
Home
Occupation
ElZone
Boundary
Adjustment
ElAccessory
Farm
Dwelling
LI
Bed
and
Breakfast
El
Comprehensive
Plan
Amendment
El
Farm
Lot
of
Record
El
Forest
Template
Dwelling
Other:
El
____________________________
El
Forest
Large
Tract
Dwelling
El
Variance
El
Forest
Lot
of
Record
El
Subdivision
El
___________________________
SITE
INFORMATION:
Township:
Range:
Section:
Tax
Lot:
Parcel
size:
ac.
Zoning:
Site
Address:
City:
Description
of
Proposed
Development
or
Use:
__________________________________________________________
APPLICATION
CHECKLIST:
Unless
otherwise
noted,
the
following information
is
required
as part
of
a
complete
application:
Completed
application
form
Applicants
&
ALL
property
owners
signatures
Site
Plan
-
per
attached
example
Project
description
Applicable
criteria
form
I
questionaire
Supporting
documents
(farm
income,
etc.)
Filing
fee
_____
Only
applications
with
the
required
information
can
be
processed.
Obtain
a
copy
of
the
criteria
and
the
questionnaire
for
your
application
type.
The
pertinent
Hood
River
County
Zoning
Ordinance
sections
may
be
obtained
from
Hood
River
County
Community
Development
or
on-line
through
the
county
website
at
www.co.hood-river.or.us
Pursuant
to
Oregon
Revised
Statutes
Chapter
215,
Section
427, this
department
has
30
days
to
review
the
application
for
completeness
and
notify
the applicant
of
any
deficiencies.
SIGNATURES:
All
Owners
must
sign
(Corporate
or
LLC
owned
parcels
require
authorized
signatures)
Owner
Name:
Owner
Name:
Signature
reqd
Signature
reqd
Mailing
Address:
Mailing
Address:
City:
State:
Zip:
City:
State:
Zip:
Phone:
E-mail:
Phone:
E-mail:
Applicant
if
other than
owner:
By
signing,
I
acknowledge
that
the
inform
at/on
provided
in
this
application
is
accurate
to
the
best
of
my
knowledge.
Signature
req’d
Signature
of the
property
owner(s)
indicates
that
the
property
Mailing
Address:
owners(s)
is/are
aware
that
an
application
is
being
made
on
the
.
.
subject
property.
Signature
of the
property
owner(s)
also authorizes
City:
State:
Zip:
the
County
planning
staff
reasonable
access
to
the
site
in
orderto
Phone:
E-mail:
evaluate
the
application.
Application
Review
Fee
$
PLANNING
P:++++FRONT
COUNTER
DATA\Planning
ApplicationsiAdministrative
Land
Use
Application
Sept
2013.xls
rev.12/1814