---

A Property Owner Acknowledgement Form must be submitted with the application.

---

It is highly recommended that the property owner and/or a representative meet with staff prior to submitting an application.

All non-commercial plans will be subject to a Conceptual Review by the Design Review Team (DRT) prior to being reviewed by the Planning Commission (as appropriate). All projects submitted for conceptual review must include all elements outlined in the DRT Conceptual Review Checklist.

---

Nature of Request & Fees

Check all that apply:*

Zoning/Rezoning Planned Development Amendment Comprehensive Plan Amendment Impact Assessment & Conceptual Plan Land Development Regulations Waiver

Sketch Plan Development Agreement (new) Development Agreement Amendment Other

Please Note: Preliminary Plat review requests should be submitted using the following application:

Preliminary Plat Review Application

Description of the request:*

The following supplemental information is included with this application (please list):*

Applicant Information

Name:*

Phone number:*

Address:*

Email:*

---

Subject Property / Properties Information

Parcel ID (TMS#):*

Acreage/Square footage:*

Property Owner*

Property Address:*

Subdivision:

Present Use of Property:*

Proposed Use:*

Current Zoning:*

--- Unincorporated Charleston County RC-1, Rural Conservation-1 RC-2, Rural Conservation-2 RR, Rural Residential CC, Community Conservation R-1, Low Density Residential R-2, Low Density Residential R-3, Medium Density Residential R-4, Medium Density Residential TH, Townhouse MF, Multi-Family LO, Limited Office OP, Office Professional NC, Neighborhood Commercial AB, Areawide Business AB-2, Areawide Business-2 PI-1, Public-Institutional-1 PI-2, Public-Institutional-2 ED, Economic Development MD, Marine District LI, Light Industrial CO, Conservation-Open Space CR-O, Conservation-Recreation-Open Space PD, Planned Development CL, Cultural Landscape WG, Waterfront Gateway

Current Overlay District:*

--- None HNB-VR-OD, Hungryneck-Venning HC-OD, Joint Town-County Highway Corridors OV-HD, Old Village Historic District SCW-OD, Shem Creek Waterfront SR2-OD, Special R-2 SB-OD, Sweetgrass Basket SB2-OD, Sweetgrass Basket-2 B-OD, Boulevard Overlay

---

Zoning Submittals

Fee Schedule:
Please select the appropriate fee below. For areas greater than 100.01 acres, the fee is $800 + $2 per additional acre. If total project acreage exceeds 100.01 acres, please enter total acreage minus 100 acres in the quantity field below.
If total acreage is less than 100 acres, leave quantity field blank.

Choose From The Following 0 - 5 Acres - $200 5.01 - 10 Acres - $300 10.01 - 20 Acres - $400 20.01 - 50 Acres - $600 50.01 - 100 Acres - $800 Over 100.01 Acres - $800

100.01 + acres

Quantity (total acres minus 100)=

Proposed Zoning:

No change RC-1, Rural Conservation-1 RC-2, Rural Conservation-2 RR, Rural Residential CC, Community Conservation R-1, Low Density Residential R-2, Low Density Residential R-3, Medium Density Residential R-4, Medium Density Residential TH, Townhouse MF, Multi-Family LO, Limited Office OP, Office Professional NC, Neighborhood Commercial AB, Areawide Business AB-2, Areawide Business-2 PI-1, Public-Institutional-1 PI-2, Public-Institutional-2 ED, Economic Development MD, Marine District LI, Light Industrial CO, Conservation-Open Space CR-O, Conservation-Recreation-Open Space PD, Planned Development CL, Cultural Landscape WG, Waterfront Gateway

Proposed Overlay District:

--- no change HNB-VR-OD, Hungryneck-Venning HC-OD, Joint Town-County Highway Corridors OV-HD, Old Village Historic District SCW-OD, Shem Creek Waterfront SR2-OD, Special R-2 SB-OD, Sweetgrass Basket SB2-OD, Sweetgrass Basket-2 B-OD, Boulevard Overlay

Please attach any supplemental zoning information as outlined above:

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

---

Impact Assessment Submittals

Fee Schedule:
Please select the appropriate fee below. For areas greater than 100.01 acres, the fee is $800 + $2 per additional acre. If total project acreage exceeds 100.01 acres, please enter total acreage minus 100 acres in the quantity field below.
If total acreage is less than 100 acres, leave quantity field blank.

Choose From The Following 0-5 Acres - $200 5.01 - 10 Acres - $300 10.01 - 20 Acres - $400 20.01 - 50 Acres - $600 50.01 - 100 Acres - $800 Over 100.01 Acres - $800

100.01 + acres

Quantity (total acres minus 100)=

Click on Link below for

Impact Assessment Checklist

Click on link below for

Conceptual Plan checklist

Attach impact assessment below:

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

Please attach supplemental information as outlined above:

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

---

Sketch Plan Submittals

Fee Schedule:
Please select the appropriate fee below. For areas greater than 100.01 acres, the fee is $800 + $2 per additional acre. If total project acreage exceeds 100.01 acres, please enter total acreage minus 100 acres in the quantity field below.
If total acreage is less than 100 acres, leave quantity field blank.

Choose From The Following 0 - 5 Acres - $200 5.01 - 10 Acres - $300 10.01 - 20 Acres - $400 20.01 - 50 Acres - $600 50.01 - 100 Acres - $800 Over 100.01 Acres - $800

100.01 + acres

Quantity (total acres minus 100)=

Click on link below for

Sketch Plan checklist

Attach Sketch plan below:

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

Please attach any supplemental information as outlined above:

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

---

Land Development Regulations Waiver

Fee Schedule:
Please select the appropriate fee below. For areas greater than 100.01 acres, the fee is $800 + $2 per additional acre. If total project acreage exceeds 100.01 acres, please enter total acreage minus 100 acres in the quantity field below.
If total acreage is less than 100 acres, leave quantity field blank.

Choose from the Following: 0-5 Acres-$200 5.01-10 Acres-$300 10.01-20 Acres-$400 20.01-50 Acres-$600 50.01-100 Acres-$800 Over 100 Acres-$800

100.01 + acres

Quantity (total acres minus 100)=

Click on link below for

LDR Waiver Request Form

Attach LDR Waiver Request Form below:

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

Please attach any supplemental information as outlined above:

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

---

Comprehensive Plan Amendment (only fill out if Comprehensive Plan Amendment requested)

Comprehensive Plan Amendment - ($250)
Please indicate quantity below.

Present Comprehensive Plan Land Use Designation:

--- Business/Light Industrial/Economic Development Commercial Community Conservation Cultural Landscape High Density Neighborhood Low Density Neighborhood Medium Density Neighborhood Natural Open Space Public-Institutional Recreation Open Space Rural Conservation-3 Rural Conservation-10 Rural Conservation-25 Transitional Boulevard Overlay Waterfront Gateway

Proposed Comprehensive Plan Land Use Designation:

--- Business/Light Industrial/Economic Development Commercial Community Conservation Cultural Landscape High Density Neighborhood Low Density Neighborhood Medium Density Neighborhood Natural Open Space Public-Institutional Recreation Open Space Rural Conservation-3 Rural Conservation-10 Rural Conservation-25 Transitional Boulevard Overlay Waterfront Gateway

Description of Proposed Structure and Use of Property:

Please attach supplemental information outlined above:

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

---

Additional Options

New Development Agreement - ($500)
Please indicate quantity below:

Amend Development Agreement - ($250)
Please indicate quantity below

Attach development agreement below:

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

Please attach supplemental information as outlined above:

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)

---

Electronic Signature

I, the undersigned, serve as the owner or owner's representative and certify the information contained herein to be true and accurate. If an application is found to be incomplete, the primary contact will be notified and the application will be removed from the agenda. I further certify that the tract(s) or parcel(s) of land to which this approval request pertains: *

is restricted

is not restricted

by any recorded covenant that is contrary to, conflicts with, or prohibits the activity for which approval is sought as provided in SC Code of Laws Section 6-29-1145, and the Town of Mount Pleasant Code of Ordinances §155.084 and §156.048.

I agree that all terms and information are true to my knowledge:*

I agree

Information of person completing electronic signature:

Name:*

Date:

Address (if different from above):

Email (if different from above):

Phone (if different from above):

PROPERTY OWNER ACKNOWLEDGEMENT FORM Please upload this form containing the original signature of the property owner, which verifies the applicant is acting with the owner's permission.
*

Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)