Forms – City of Benton

City applications, made easier. Download a fillable PDF to save or print, or complete an application online for the City Clerk.

Online submissions are requests for city review. Fees, original signatures, notarization and department approval may still be required. Downloaded PDFs include the unmodified original forms as reference pages.

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Application for Special Use

The original application cites Zoning Ordinance #1062 as amended and requires representations and evidence at a public hearing. Review the complete original wording in the reference pages. Submission is not a permit.

Download fillable PDF

Privacy: Do not enter or upload Social Security numbers, driver license numbers, identity cards, birth dates or payment card details. Supply identity information directly to City Hall.

How can staff contact you?

Contact name *

Email *

Phone

Applicant

Name

Street address

City, state, ZIP

Telephone

Property and proposed use

Reason for request

Legal description: lot, block, subdivision

Lot size

Square footage

Dimension of use

Type or kind of special use

Present use of property

Attempted to locate this use in a permitted area?

Site checklist

Access without endangering automotive or pedestrian traffic?

Access for emergency vehicles?

Easy access to buildings?

Adequate street parking?

Odor problem?

Adequate yard and open space?

Would use devalue adjoining properties?

Adequate refuse and service areas?

All utilities in place (water, sewer, electricity)?

Required screening or buffering in place?

Signs or exterior lighting needed?

Would signs / lighting create glare, traffic hazard or devaluation?

Signs / lighting compatible with adjoining properties?

Use generally compatible with area properties?

Signatures and notice

Applicant signature / typed name

Applicant date

Owner signature / typed name

Owner date

Mail public hearing notice to

Supporting documents (optional)Up to 3 PDF, JPG or PNG files; maximum 2 MB each.

Use for plans and other supporting documents. Do not upload identity documents or documents containing sensitive identity numbers. For larger plans, contact City Hall.

I am submitting this information for city review. I understand that submission does not grant a permit, start utility service or replace required original signatures or notarization.

The site saves your application privately and emails it to cityclerk@bentonil.gov.