Walnut Township Application for Zoning Permit

Application for Zoning Permit - Sign

Walnut Township, Fairfield County, Ohio
Office of Zoning, 11420 Millersport Rd. NE Millersport, OH 43046

Phone ▪ 740-467-2420 Fax ▪ 740-994-5182
Email ▪ zoninginspector@walnuttownship.com Web ▪ www.walnuttownship.com
The undersigned applies for a Zoning Permit for the purpose stated. The requested Zoning Permit is issued on the basis of the information contained within this application. The Applicant hereby certifies that all information and attachments to this application are true and correct. Further, the Applicant understands this permit is void if the work is not started within 1 year or is not completed within two (2) years. (Applicant please initial)
Owner/Applicant's Initials
Initial to acknowledge you understand and agree to the above paragraph.
1. Property Owner/Applicant Information:
Name of Property Owner/Applicant
Mailing address
Include street address, city, state, ZIP
Home phone
Mobile phone
Business phone
Email Address
example@example.com
2. Contractor Information
Name of Contractor and business name (if different from property owner)
Mailing address
Include street address, city, state, ZIP
Home phone
Mobile phone
Business phone
Email Address
example@example.com
3. Physical address of property for this application:
Physical address of property for this application
Include street address, city, state, ZIP
Subdivision Name
Parcel No.
Section
Range
Lot No.
(If parcel is not located in a platted subdivision, a legal description must be attached)
4. Current property zoning district
5. Proposed sign permit is for:

PermanentTemporaryWall MountedGround MountedNon-illuminatedIlluminated
Constant light source? (Flashing and intermittent light sources are not permitted.)

YesNo
Distance from right of way line (front set back)
feet
7. Will sign be located at least 8 feet vertically or four feet horizontally from any overhead electrical wires, conductors, or guy wires?

YesNo
8. Signs along interstate and primary highways shall conform to the requirements of the Ohio Revised Code Chapter 5516 and the regulations adopted pursuant thereto (contact the Ohio Department of Transportation (ODOT) for all signs that will be placed along State roads for these additional regulations). A copy ODOT approval shall accompany this application. Has ODOT approved this installation?

YesNo
(You may upload your copy of ODOT approval with the Site Plan and any other files, after item #9 below.)
9. Each application is to contain the following attachments and clearly indicate project address on each page:
- Scaled Site Plan: 1) Show actual dimensions and shape of lot 2) Location on lot of proposed sign.
Upload the required attachments for Site Plans, ODOT approvals, etc. (NOTE: Project address must be clearly indicated on each page of each attachment.)

Upload all relevant files, drawings, documents, etc. for this application here.
Cancelof
This permit application applies only to the Walnut Township Zoning Resolution. The Applicant understands that additional permits may be required from County, State or other regulatory agencies. The Applicant understands it is their responsibility to contact the appropriate agencies and comply with their regulations.

Important Information:
- Township Zoning District Map - http://www.co.fairfield.oh.us/rpc/pdf/wa_Zoning_sep_13.pdf
- Walnut Township Zoning Resolution/Code - www.Walnuttwp.com
- Sign regulations are covered in the Zoning Resolution, Section 10.9 “Sign Regulations”.
- Ohio Department of Transportation Fairfield County | 3265 West Fair Ave., Lancaster, OH 43130 | 740-653-5961 Web: dot.state.oh.us
- Underground Utilities-Contact the specific utility and OUPS at 1-800-362-2764, before you dig!
- See "Zoning Permit Application Instructions" and "Building In Walnut Township" for other important information.
The Applicant hereby certifies that all information and attachments to this application are true and correct and agrees with all aspects of this permit and the Zoning Resolution.

By signing, the Applicant understands that he/she must comply with all applicable Walnut Township Zoning Resolutions before he/she is granted a final Zoning Permit. In order for the final Zoning Permit to be approved, the Zoning Inspector, or his designee, may inspect the property multiple times during the construction process to ensure compliance with Walnut Township Zoning Resolutions. The Zoning Inspector, or his designee, shall notify the Applicant of the Zoning Inspector's, or his designee's, intent to inspect the property and schedule a time with Applicant for said inspection. Upon receiving notice, Applicant agrees to consent to the Zoning Inspector's, or his designee's, entrance on the Applicant's property for the requested inspection. Failure of the Applicant to permit the Zoning Inspector, or his designee, to enter the Applicant's property during the construction process may result in the Applicant's final Zoning Permit being denied.
Property Owner (only)
Full name
Signature

Clear
Date

MonthDayYear
Date
Once permit is issued and project is ready for construction, provide preliminary construction stakes showing outline of construction, lot lines and lot pins and notify Zoning Inspector one (1) week minimum prior to construction.

Provide check only after Application has been approved
Should be Empty:

Application for Zoning Permit - Sign

1. Property Owner/Applicant Information:

2. Contractor Information

3. Physical address of property for this application: