APPLICATION FOR

AGRICULTURAL ADVISORY REVIEW

Application #__________

The undersigned requests an Agricultural Advisory Review. Should this application be recommended to the Board of Adjustment, it is understood that it shall only authorize that particular use described in this application and any conditions or safe guards recommended by the Review Committee.

1. NAME OF OWNER __________________________________________________________________

ADDRESS ________________________________________________________________________

PHONE NUMBER: HOME _________________________ BUSINESS ________________________

2. LOCATION DESCRIPTION:

I. PROPERTY ADDRESS____________________ II. FIREGATE ____________________

III. DEED BOOK & PAGE NO. ____________________

(Attach a legal description and, if platted, attach a copy of plat).

3. PROPERTY PRESENTLY ZONED: ___________________

4. DESCRIPTION OF EXISTING AGRICULTURAL ACTIVITIES: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

7. DESCRIPTION OF PROPOSED AGRICULTURAL ENTERPRISE:

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

8. ATTACH A SITE PLAN FOR THE PROPOSED USE SHOWING THE LOCATION OF BUILDING, PARKING AND LOADING AREAS, TRAFFIC ACCESS AND CIRCULATION DRIVES, OPEN SPACE, LANDSCAPING, UTILITIES, SIGNS, REFUSE AND SERVICE AREAS, ADJOINING PROPERTY OWNERS NAMES AND ADDRESSES, AND ANY OTHER INFORMATION THE COMMITTEE MAY NEED TO REVIEW THE REQUEST.

9. ATTACH A CERTIFICATE FROM THE WOODFORD COUNTY HEALTH DEPARTMENT VERIFYING THAT AN APPROVED ON-SITE SEWAGE DISPOSAL SYSTEM HAS BEEN APPROVED FOR THE PROPOSED AGRICULTURAL ENTERPRISE.

10. ATTACH A COMPLETED “DECISION TREE”.

11. ATTACH A COPY OF AN AG DEVELOPMENT FUND PHASE I COMPLETED APPLICATION, IF AVAILABLE, AND/OR A BUSINESS PLAN.

____________________________ _______________________________________________

DATE OWNER’S SIGNATURE

_______________________________________________ PRINT NAME

FOR OFFICIAL USE ONLY

Recommendation of Agricultural Advisory Review Committee: APPROVED _______ DENIED______

If approved, the following conditions and safeguards were prescribed: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

If denied, reason(s) for denial:

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Woodford County Agricultural Advisory Review Committee

__________________ _____________________________________________________

Date Chairman

DATE OF NOTICE TO NEWSPAPER _____________________________________

DATE OF PUBLIC MEETNG____________________________________________

DATE OF RECOMMENDATION__________________________________________

_______________________________________ _______________________________________

Planning Director Date Filed