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Zoning Application Form_4 23 2021_XO Marriage Center ZONING APPLICATION Department of Planning & Development Services, 1400 Main Street, Suite 310, Southlake, TX 76092 Phone: (817) 748-8621 Fax: (817) 748-8077 Website: www.cityofsouthlake.com Subdivision Name Lot(s) Block(s) Survey Name(s) Abstract No.(s) Tract(s) Address/Location Current Zoning If more than one zoning district, list all here Requested Zoning Acres or Sq. Ft. SPIN Meeting Date Existing Use(s) Proposed Use(s) Reason for Zoning Change Applicant Company Contact Address Telephone Fax Email* Owner (attach additional sheets if necessary) Company Contact Address Telephone Fax Email* Main Contact for Project Phone Email* Fax *Email should only be provided if you consent to your email address becoming a part of public record. I hereby certify that this application is in conformance with the requirements of the Zoning Ordinance No. 480, as amended and other ordinances, maps, and codes of the City of Southlake that pertain to this submittal. I understand that it is my responsibility to have the Applicant, Owner or other authorized agent present at the Planning and Zoning Commission and City Council meetings. Should an authorized person not be at the meeting to represent the application, I hereby request that consideration of the item be continued to a future date to allow an authorized person the opportunity to appear and present testimony. However I do understand that the City is not obligated to continue this request. I further understand that this request will be placed on the appropriate Planning & Zoning Commission and City Council agendas in accordance with the limitations of Resolution No. 97-22. Signature of Applicant, Owner, or Authorized Agent Date Printed Name ITEMS REQUIRED WITH SUBMITTAL The items listed in the Submittal Guidelines & Requirements must be received no later than 5:00 PM on the submittal deadline (refer to schedule) and are required to qualify as an adequate submittal. Upon determination of its inadequacy, the submittal will not be accepted and will be promptly returned to the applicant. For Pre-Submittals please submit 7 copies of all items, unless otherwise noted. For Formal Submittals, please submit 27 copies of all items, unless otherwise noted. Blueprints should be 24” by 36” and folded 12” by 9”. One 11" by 17" reduction and a digital pdf format file of each plan is required with all submittals. Revised August 2019 Traffic Impact Analysis Title of Plan Case Number THRESHOLD WORKSHEET Driveway Ordinance No. 634 requires that a Traffic Impact Analysis (TIA) be submitted with development applications (zoning, concept plan, site plan, etc.) if the proposed development exceeds one or more of the three threshold criteria listed below. No development applications will be accepted unless accompanied by a TIA. For those projects that do not exceed any of the three criteria, a TIA Threshold Worksheet must be submitted and approved by the City Engineer in lieu of the required TIA prior to submittal of the development application. Please describe in detail your evaluation of each criteria listed below. Additional sheets may be attached if necessary. Criteria #1:The development exceeds parking 100 spaces average per driveway. Criteria #2:Any driveway in the development is projected to serve 1000 or more vehicles per day.* Criteria #3:Any driveway in the development is projected to serve 100 ingress vehicles or more in the design hour.* * Unless approved otherwise, trip generation rates should be based on the most recent edition of the Institute of Transportation Engineers (ITE) Trip Generation Manual. I hereby certify that this project does not exceed any of the three threshold criteria shown above and therefore the development would not warrant a TIA in accordance with Section 3.4 of the Driveway Ordinance No. 634 of the City of Southlake. Name Registration No. Date Firm Phone Fax For City Use Only: The requirement for a Traffic Impact Analysis with this submittal is hereby waived: Name: Title: Date: Zoning Change Submittal Guidelines & Requirements Department of Planning & Development Services, 1400 Main Street, Suite 310, Southlake, TX 76092 Phone: (817) 748-8621 Fax: (817) 748-8077 Email: planning@ci.southlake.tx.us Website: www.cityofsouthlake.com Basic Submittal Requirements Guidelines for Posting Public Hearing Signs signed by Applicant, Owner, or Authorized Agent. Property Owner Acknowledgements signed and notarized by all owners. Notarized signature of all owners is mandatory. Traffic Impact Analysis (5 copies) or Threshold Worksheet Release Form signed by the City Engineer. Preliminary Drainage Study prepared, sealed, signed, and dated by a professional engineer. This requirement may be waived only by the City Engineer prior to submittal of this application. (Waiver approval signature: Date: ) Site Plan/Development Plan Application required by Section 40 of the Zoning Ordinance for all "NR-PUD", "R-PUD", "S-P-1", "TZD", "RCS", "ECZ" and all zoning requests for properties within Corridor Overlay Zone (see Zoning Ordinance Section 43.9). Concept Plan Application required by Section 41 of the Zoning Ordinance for all "SF-1A", "SF-1B", "SF-2", "SF-30", "SF-20A", "SF-20B", "S-P-2", "MF-1", "MH", "CS", "B-1", "B-2", "HC" and all zoning requests for properties within the Corridor Overlay Zone (see Zoning Ordinance Section 43.9). Unless otherwise required, a Site Plan may be substituted for a Concept Plan. Clear and legible metes and bounds description of the property typed in 8.5" by 11" or 14" format for unplatted property (1 copy). Current survey of property, showing property lines and location of existing improvements, in 11" by 17" format (1 copy). Copies of written documents, including but not limited to a written narrative describing the use, operation, etc. and demonstrating compliance with the Land Use Plan (1 copy). Comprehensive Plan Amendment Application if the proposed zoning is not consistent with the Land Use Plan. Payment in the amount of $ (made payable to the City of Southlake). Application signed by Applicant, Owner, or Authorized Agent. The above items must be received no later than 5:00 PM on the submittal deadline (refer to schedule) and are required to qualify as an adequate submittal. Upon determination of its inadequacy, the submittal will not be accepted and will be promptly returned to the applicant. For Pre-Submittals and Re-Submittals, please submit 12 copies of all items, unless otherwise noted. For Formal Submittals, please submit 27 copies of all items, unless otherwise noted. Blueprints should be 24" by 36" and folded 12" by 9". One 11" by 17" reduction of each plan is required with all submittals.