Text Amendment Application

Text Amendment Application

For additional information, please refer to the Town of Galena Charter and Code at https://ecode360.com/GA3097/home
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Requested Sponsor
Requested Change of:
Article & Section of Requested Change
Please describe in detail the reason for the request
Please submit the draft Ordinance of the proposed change and any other supporting documentation

Cancelof
Additional Information / Questions
By signing and submitting this application, the applicant affirms that they are authorized to submit this text amendment application on behalf of themselves or the entity identified herein. The applicant further certifies that all information, statements, proposed amendment language, exhibits, and supporting materials submitted in connection with this application are true, accurate, and complete to the best of their knowledge and belief. The applicant acknowledges that submission of false, misleading, or incomplete information may result in denial of the application or other enforcement action as authorized by the Town of Galena Zoning Ordinance or other applicable law.
Signature
Date

MonthDayYear
Date
Should be Empty: