PETITION FORM
FOR ABANDONED CEMETERIES
(Attachment A)
This
form is to be used to petition the Otoe County Board of Commissioners for the
change of classification of a cemetery to that of an Abandoned and
Date
of application:
____________________________________________
Name
of Cemetery: _____________________________________________
Location
of Cemetery: __________________________________________
Petitioner’s
Name:
_____________________________________________
Petitioner’s
Address: ____________________________________________
_____________________________________________________________
Graves
are those of:
Immigrants from Foreign Nations
In
what year was the cemetery abandoned?
_________________________
On
whose property is the cemetery located?
_________________________
Address
of property owner: _______________________________________
_____________________________________________________________
Are
there burial records for this cemetery?
Yes No
Name
of person holding such records:
______________________________
Address
of person holding records:
________________________________
_____________________________________________________________
The
burial records or a copy thereof will be provided the Otoe County Register of
Deeds if available. Such records will be
archived and available to the public. A
copy will be provided the Morton-James Public Library for public access also.
Records
provided Register of Deeds: Yes No
Date
petition was received by Zoning Administrator: __________________
Comments
of Otoe
_____________________________________________________________
_____________________________________________________________
Recommendation
of Otoe
_____________________________________________________________
_____________________________________________________________
Date
of action by Otoe County Commissioners:
______________________
Petition
Approved/disapproved:_____________________________
Signed:_____________________________________
Chairperson,
Otoe