APPLICATION FOR ZONING PERMIT

APPLICATION FOR ZONING PERMIT
PROPERTY/SITE INFORMATION:
Property/Site Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Property Identification Number (PIN)*
Tax Account*
Zoning District*
Zoning District of Adjacent Property*
Land Use*

ResidentialCommercial
LAND/PROPERTY INFORMATION:
Name*
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
BUILDING/STRUCTURE INFORMATION:
Name*
Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
CONTRACTOR INFORMATION:
Business Name*
Office Phone Number*
Please enter a valid phone number.
Business Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Name*

First NameLast Name
Direct/Cell Number*
Please enter a valid phone number.
Email*
example@example.com

CERTIFICATION:

I certify that I am the owner of record, or that I have been authorized by the owner of record to submit this application and that the work described has been authorized by the owner of record. I understand and assume responsibility for the establishment of official property lines for required setbacks prior to the start of construction and agree to conform to all applicable local, state and federal laws governing the execution of this project. I certify that the Zoning Official or his representative shall have the authority to enter the areas in which this work is being performed at any reasonable hour to enforce the provisions of the codes governing this project. I further certify that this information is true and correct to the best of my knowledge and belief.

This permit is issued only for the purpose applied for and may not be occupied for this purpose until a Certificate of Compliance has been granted. Any alteration or change of use requires an additional Zoning Permit.
Applicant Name*

First NameLast Name
Applicant Signature*

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Date*

MonthDayYear
Date
Business Name
Office Phone
Please enter a valid phone number.
Applicant Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant Direct/Cell Number*
Please enter a valid phone number.
Applicant Email*
example@example.com
REQUIRED DOCUMENTS:
- Site plan drawn to scale showing the following:
  - Actual Dimensions and Shape of Lot
  - Location of all structures on the property (including well, septic & accessory structures)
  - Location and height of proposed structure in relation to property lines and structures.
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APPLICATION FOR ZONING PERMIT

PROPERTY/SITE INFORMATION:

LAND/PROPERTY INFORMATION:

BUILDING/STRUCTURE INFORMATION:

CONTRACTOR INFORMATION:

For new structures, additions, signs, decks:

CERTIFICATION:

REQUIRED DOCUMENTS: