Zoning Sign Form

DEERFIELD TOWNSHIP

DEPARTMENT OF COMMUNITY DEVELOPMENT

COMMERCIAL CONSTRUCTION

The undersigned applies for a Zoning Permit for the following use. Said permit to be issued on the
basis of the information contained within this application. The applicant hereby certifies that
he/she/it has the authority to make this application, that all information and attachments to
this application are complete and accurate, and that the proposed use will be constructed
as shown.

LOCATION OF CONSTRUCTION


Please include address, street, city, and zip code

Subdivision	Lot #	Parcel ID #

Tenant Name, if applicable

CONTACT INFORMATION

	PROPERTY OWNER	CONTRACTOR
Name
Company
Address
City, State, Zip
Phone
Fax
Email

TYPE OF CONSTRUCTION

r New	Number of Stories __________ Total Floor Area _______________________
r Addition	Number of Stories __________ Total Floor Area _______________________
r Alteration - Interior	Description _______________________________________________________
r Alteration - Exterior	Description _______________________________________________________
r Demolition	Total Area ________________________________________________________
r Other	Description _______________________________________________________

DESCRIPTION

Explain Use in Detail (please include square footage, height and intended use)

______________________________________________________________________

PLEASE REVIEW AND COMPLETE THE FOLLOWING PAGE. APPLICATIONS WILL NOT BE PROCESSED UNLESS COMPLETE.

*Signature of Applicant

Date

*Applicant hereby affirms that he/she is a duly authorized agent for the subject property owner.

CHECKLIST FOR BUSINESS OR COMMERCIAL ZONING PERMIT

r Two (2) copies of the site plan are included. The scale of the site plans does not
exceed 1”=100’ and the Site plans are on one or more sheets that are 24 x 36
inches in size and are clearly and legibly drawn.

r The site plans reflect all changes or conditions required by any one or a
combination of the following: Warren County Regional Planning Commission,
Deerfield Township Zoning Commission, and/or the Deerfield Township Trustee’s.

r Cut sheets of any and all exterior lighting fixtures are included.

r Letter from Warren County Engineer indicating approval of Traffic Impact Study is included.

r Letter of approval from Warren County Engineer for storm water drainage and detention/retention is included.

r Letter of approval from Warren County Water and Sewer District is included.

r Letter of approval from Warren County Soil and Water Conservation District
is included.

r Letter of approval from Deerfield Township Fire Rescue Department is included.

r An Occupancy Permit will be requested prior to occupancy to ensure all approval
criteria are satisfied.

r The zoning fee of $.10 per square foot, minimum of $500 and maximum of $2000
is included with the submission of the application.