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APPLICATION FOR SINGLE FAMILY RESIDENCE

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 all information and attachments to this application are complete and accurate.

 

Owner

 

 

 

Owner’s Phone #

 

 Owner’s Address

 

 

 

 

  

 

 

 

 

 Builder

 

 

 Builder’s Phone #

 

 Builder’s Address

 

 

 

 

  

 

 

 

 

 LOCATION OF NEW SINGLE FAMILY RESIDENCE

 

 

Please include address, street, city, state and zip code

 

 

 

 

 

 

Subdivision

 

Lot #

 

Parcel ID #

PLEASE INDICATE ANY ACCESSORIES THAT APPLY

r      Detached Garage

r      Deck

r      Pool

r      Shed

r      Sunroom

r      Patio

r      Carport

r      Gazebo

r      Other

 

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

 

 PLEASE REVIEW AND CHECK THE FOLLOWING (Application will not be processed unless completed)

 r     I have attached a stamped survey drawing showing all front, side and rear yard setbacks.  Lot, house and any accessory dimensions are also included.

r     Downspouts may not be extended underground to the street and through the curb.

r     Sump pump lines must discharge either onto the ground or into an approved sump pump drainage system and may not be extended through the curb.

r     I understand and have shown all items relating to storm water (easements, flood routing paths and minimum building opening) on the attached plot plan.

r     I understand that it is my responsibility to comply with civil deed and/or subdivision restrictions/covenants.  Applicant certifies right to make the above application, that all submitted information is correct, and the proposed use will be constructed as shown.

 

Signature of Applicant

 

Date