City of Washington
Department of Planning and Development
Request for an Amendment to the Zoning Ordinance
Date: Fee:
TO THE CITY OF WASHINGTON PLANNING BOARD AND CITY COUNCIL:
I, _______________________________________________,
   (Name of Applicant)
hereby request that Section ________________________________ of the Zoning Ordinance be amended as follows:
Reason for Request:

I certify that all the information presented by me in this application is accurate to the best of my knowledge, information, and belief.

_____________________________________________
(Signature of Applicant)

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