WS - C - Carew Application FLUM

Office Use Only Date Filed Fee Application Number JOHNSON COUNTY, IOWA APPLICATION FOR: FUTURE LAND USE MAP AMENDMENT Application is hereby made to amend the Johnson County Future Land Use Map, changing the designation of the following property: 0630127001, 0630151001 & 0630177002 List parcel number(s) to be changed (or attach a full legal description on a separate sheet) Street Address (if applicable): 2367 Highway 6 NW Current Future Land Use Map Designation: A-Agricultural & Conservation Development Requested Future Land Use Map Designation: R-Residential **If property or properties have more than one current or requested designation, please attach an additional sheet indicating the current and requested designation for each parcel number or legal description. See the adopted Future Land Use Map Amendment Procedures Policy Sheet (attached) for the complete list required submission items. THE UNDERSIGNED AFFIRM(S) THAT THE INFORMATION PROVIDED HEREIN IS TRUE AND CORRECT. Jeff Carew Name of Applicant(s) 2905 W Penn St. North Liberty, IA. 52317 Street Address (including City, State, Zip) 319-936-0866 [email protected] Phone Email Signature Signature (if necessary) Applications are accepted only between June 1 and June 30. Fee is due at the time of application. Applications should be emailed to [email protected] and delivered to the Planning, Development and Sustainability Office (913 South Dubuque Street, Iowa City, IA 52240) Updated 6.1.23 MS