Annexation Project Information Project Name Project Location Assessor’s Parcel Number(s) Existing Zoning

Gross Acres

Is a Zone Change/Master Plan Amendment being considered with this application? Yes 

No 

If yes, a separate application is required. Applicant Signature

Date

Applicant Information Property Owner(s) Mailing Address Phone No

Email

Fax No

Email

Fax No

Applicant (if different than Owner) Mailing Address Phone No

Contact Person/Representative (if different than Owner) Mailing Address Phone No

Email

Fax No

Office Use Only Case No

Application Fee $

Date Received

Noticing Fee $

Received By

Planner

AX-1

Planning and Environmental Resources 10 E. Mesquite Blvd., Mesquite, NV 89027 Phone (702) 346-2835, FAX (702) 346-5382, www.mesquitenv.gov

02/11

Checklist Please use the following list to prepare your complete application. If any information is missing, inaccurate or incomplete, the application will be deemed invalid and will not be accepted for processing.

 No Annexation application fee is required.  Noticing Fee of $300 is due upon submittal.  Survey Fee Deposit of $400 is due upon submittal. The balance amount is due upon completion of review.

 One (1) original signed application.  One (1) original, current and fully signed Affidavit(s) plus one (1) copy.  One (1) original statement showing that the territory proposed to be annexed meets the requirements of Nevada Revised Statutes (NRS) 268.580 plus one (1) copy.

 One (1) original legal description of the property plus one (1) copy. (A metes and bounds description is required if the property is not platted.)

 One (1) original scaled map with legal descriptions of the territory proposed to be annexed, prepared under the supervision of a licensed surveyor or engineer plus one (1) copy.

 One (1) original map or maps of the city and the adjacent territory proposed to be annexed, showing the following information plus one (1) copy: -The existing streets, sewer interceptors and outfalls, the existing major trunk water lines, and other utility lines. -The proposed extensions for the existing streets, sewer interceptors and outfalls, the existing major trunk water lines, and other utility lines. -The existing and proposed general land use pattern in the territory proposed to be annexed.

 A digital copy of the submittal is required in the following formats: -All site plans must be in AutoCAD Version 14 or higher, DWG format. -All architectural renderings and building elevations must be in TIF, JPEG or PDF format. -All other documents can be submitted in TIF, JPEG, PDF or DOC format.

AX-2

Planning and Environmental Resources 10 E. Mesquite Blvd., Mesquite, NV 89027 Phone (702) 346-2835, FAX (702) 346-5382, www.mesquitenv.gov

02/11

Form - Planning - Annexation.pdf

A digital copy of the submittal is required in the following formats: -All site plans must be in AutoCAD Version 14 or higher, DWG format. -All architectural ...

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