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Planning and Zoning Application

  1. 255 South State Street
    Roosevelt, UT 84066
    Phone: 435-722-5001
    Fax: 435-722-5001

  2. Type of Request and Fees

  3. Current Land Use

  4. (If not the same as applicant)

  5. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

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  7. This field is not part of the form submission.