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Revised 1/10/2017 DEPARTMENT OF PLANNING ) Applicant Name: Mailing Address: Phone : Daytime: E-Mail Address: Evening: Cell: Date: PLEASE ANSWER ALL QUESTIONS THAT ARE APPLICABLE (THE MORE INFORMATION WE OBTAIN, THE BETTER WE CAN ASSIST YOU) NO If yes, explain: 7. What is the total area (Sq. Ft.) of the building or space where the use is located? a. How many parking spaces are available on the property (not per lease)? Standard: 8. Is there existing parking? Handicapped: for sale/rent, outdoor vending activities, etc.)? 5. Is this activity a new use use for this location? 6. Will there be any outdoor storage or activity associated with the proposed business? Conditional Use Verification Form (CUV- YES b. How many spaces are or will be used for something other than required parking (i.e. display or storage of vehicles Applicant Signature: If yes, what was the previous use (if known)? Please print clearly Site Plan 1. Submit supporting documentation for your use: Floor Plan Test Drive Route (Vehicle Sales) 2. Business Name: 3. Business Address (w/ Suite #): 4. Describe the proposed use in as much detail as possible (attach additional sheets if needed). YES NO YES NO . Indicate all location(s) on the site plan. I certify that I am the applicant and that the information submitted with this application is true and accurate to the best of my knowledge and belief. I understand that the City is not responsible for inaccuracies in information presented, and that inaccuracies, false information or incomplete information may cause the application to be rejected. I authorize the City of Las Vegas to access the property for purposes of inspection, to ensure that the property conforms to the Las Vegas Municipal Code, life safety requirements and to verify use. I further certify that I am the owner or purchaser (or option holder) of the property involved in this application, or the lessee or agent fully authorized by the owner to make this submission, as indicated by the applicant's signature below. This form is not an approval for any use of the property, nor does it reserve any rights for a proposed use. It is used to verify that a proposed use met all Conditional Use Regulations of LVMC Title 19.12 on the date of approval only. A business license and/or additional permits (i.e. building, fire) may be required to establish the use. Date Received:
