Walnut Township Application for Certificate of Zoning Compliance

Application for Certificate Of Zoning Compliance

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
Before any building may be occupied or land used, it is necessary for the Zoning Inspector to certify that the construction is in accordance with the Zoning Resolution and previously approved Application for Zoning Permit. Approximately one (1) week prior to completion of construction, please complete this form and mail or email back to the Zoning Inspector at the above address. A copy of the completed form will be returned to you.
1. Property Owner/Applicant Information:
Name of Property Owner/Applicant
Mailing address
Include street address, city, state, ZIP
Home Phone
Mobile Phone
Email
example@example.com
2. Contractor Information:
Name of Contractor and business name
Mailing address
Include street address, city, state, ZIP
Mobile Phone
Business Phone
Email
example@example.com
3. Application is for:

New HouseHouse AdditionAccessory StructureAccessory Structure AdditionPoolFenceDeckSignCommercialOther (please specify below)
4. Setbacks and Building Height:
Front
Rear
Left side (viewed from street)
Right side
Building Height (measured from the front yard)
Structure dimensions are the same as original application? (If No, a revised plan must be attached.)

YesNo
If you answered No above, (thus indicating that structure dimensions are different than the original application), please check this box to indicate you are attaching a revised site plan:

Revised site plan attached
Upload the required documents, such as a revised plan, here. (NOTE: Project address must be clearly indicated on each page of each attachment.)

Revised plans (if structure dimensions are different), etc.
Cancelof
Structure floor area in square feet:
S.F.
To the best of his/her knowledge, all construction has been in conformance with the approved Zoning Permit and applicantswears or affirms to be true by his/her signature.

Applicant understands that the Zoning Certificate does not relieve him/her from the responsibility of obtaining all other required permits as may be necessary based on your specific project and location, including but not limited to State Building Permit from Fairfield County; Plumbing Permit, Well and Sanitary Permit from the Fairfield County Dept. of Health; Plat requirements and flood plain regulations of the Fairfield County Regional Planning Commission; Deed restrictions and homeowner association requirements. Applicant should also coordinate with the utility companies regarding easements, right-of-ways and setbacks.
Property Owner Signature

Clear
Print Name
Full Name
Date

MonthDayYear
Date
Should be Empty:

Application for Certificate Of Zoning Compliance

1. Property Owner/Applicant Information:

2. Contractor Information:

4. Setbacks and Building Height: