TOWN OF CHAPEL HILL NEIGHBORHOOD CONSERVATION DISTRICT PROCESS PETITION: Phase Two, Formal Process to Create a Neighborhood Conservation Zoning Overlay District

We, the undersigned, hereby request to begin the formal process to create a Neighborhood Conservation Zoning Overlay District.  We understand that the process will ultimately result in a decision by the Town Council regarding the rezoning of our neighborhood.

We, the undersigned, submit the following Statement of Justification (statement that describes the neighborhood and the reason for requesting a Neighborhood Conservation Zoning Overlay District):

---

---

---

---

*Co-owners of a property (including husband and wife) must both sign the petition

*Corporations must provide proof of authorization for a signature from the Board of Directors

Property Owned

Property (Co)Owner Name(s)	Signature(s)	Date Signed	County	Tax Map	Block	Lot(s)	Parcel Identification Number
____________________	__________	__________	_______	_______	_____	_____	________________________
____________________	__________	__________	_______	_______	_____	_____	________________________
____________________	__________	__________	_______	_______	_____	_____	________________________
____________________	__________	__________	_______	_______	_____	_____	________________________
____________________	__________	__________	_______	_______	_____	_____	________________________
____________________	__________	__________	_______	_______	_____	_____	________________________
____________________	__________	__________	_______	_______	_____	_____	________________________
____________________	__________	__________	_______	_______	_____	_____	________________________
____________________	__________	__________	_______	_______	_____	_____	________________________
____________________	__________	__________	_______	_______	_____	_____	________________________
____________________	__________	__________	_______	_______	_____	_____	________________________