What information does the Zone Change Permit request?

The form asks for the applicant’s name, phone, email and address, plus the site address, parcel number, current zone, requested zone, signature and date.

Do I need a notary for the Zone Change Permit?

No. The applicant signs and dates the form without a notary; the document does not mention a notarized attachment or related step.

How do I submit the Zone Change Permit?

The form does not provide submission contact details. Submit it to the city department named on the form; check the city website for current contact details.

Does the form list a fee?

Yes. The form’s official-use section lists a fee of $250.00 and provides spaces to record the amount paid and payment date.

Holbrook, AZ · Navajo County

No notary required

Zone Change Permit

Holbrook property owners or applicants use this permit form to request a change to a parcel’s current zoning designation.

What this form is

This form records a request to change a parcel’s current zone to a requested zone. It asks for the applicant’s contact information, site address, parcel number, current and requested zones, and signature and date. The form also has fields for city staff to record the fee, nearby landowner notification, public hearing details, and the Planning and Zoning Commission’s decision.

Who needs it

An applicant seeking a change to a parcel’s current zone can use this form to provide property and contact details.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; the applicant signs and dates the form, and no notarized attachment or related step is mentioned.

How to submit this form

1
Download The Form
Download the Zone Change Permit PDF.
2
Complete Applicant And Site Details
Enter the requested contact information, site address, parcel number, current zone and requested zone.
3
Sign And Date
Sign and date the form. No attachment is listed on the document.
4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What information does the Zone Change Permit request?: The form asks for the applicant’s name, phone, email and address, plus the site address, parcel number, current zone, requested zone, signature and date.
Do I need a notary for the Zone Change Permit?: No. The applicant signs and dates the form without a notary; the document does not mention a notarized attachment or related step.
How do I submit the Zone Change Permit?: The form does not provide submission contact details. Submit it to the city department named on the form; check the city website for current contact details.
Does the form list a fee?: Yes. The form’s official-use section lists a fee of $250.00 and provides spaces to record the amount paid and payment date.

Need something notarized?

This Zone Change Permit doesn’t need a notary — but if you have another Holbrook form that does, a commissioned online notary can help.