City of Hickory
76 N Center Street, Hickory, NC 28601
Permit Center: (828) 323-7410
Fire and Life Safety: (828) 323-7522
UnifiedCommercialApplication2020/10/27
CITY OF HICKORY UNIFIED COMMERICAL PERMIT APPLICATION
Physical address: Parcel ID number:
Existing use of building/land:
Proposed use and changes to building/land in detail:
Is the proposed land disturbance under one (1) acre? Yes No N/A
If yes, after this application is approved, the City of Hickory Erosion Control Affidavit form must be completed.
If no, permit for erosion control plan from Catawba County must be forwarded to the City of Hickory.
Complete this section if you are opening a new business
Business name:
Billing address:
Business telephone number:
Emergency Notifications: List names and numbers of personnel to contact in the event of an emergency after hours.
Name: Telephone:
Name: Telephone:
Name: Telephone:
Applicant name: Applicant title:
Applicant address:
Applicant telephone: Applicant email:
Owner name:
Owner address:
Owner telephone: Owner email:
These answers have been given to the best of my ability and knowledge. Answers deliberately falsified or misrepresented shall
be justification for revocation of this permit. No building, structure, or lot for which this permit has been issued shall be used or
occupied until a Certificate of Occupancy has been granted.
Applicant signature: Date:
************************************ZONING ADMINISTRATOR REVIEW************************************
Plan Case Number: Zoning District: Overlay District:
Front Setback: Rear Setback: Side Setback: Side Street Setback:
Max. Height: Flood Zone: Elevation Certificate Req.: Watershed:
Application Approved: Yes No
Zoning Administrator Signature: Date:
Conditions/Comments:
click to sign
signature
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