City of Piedmont
Application and Building Move Permit
Name of Moving Company: ___________________________________________________________________________
Address of Moving Company: __________________________________________________________________________
Phone Number for Moving Company: ___________________________________________________________________
Destination (Address) of Structure: _____________________________________________________________________
Route Map Attached? □ Yes □ No
BONDED MOVERS MUST HAVE THE FOLLOIWNG ON FILE BEFORE A PERMIT MAY BE GRANTED:
□ Valid Commercial Driver’s License
□ Certificate of Insurance
□ Current Oklahoma Corporation Commission
License
□ License, Permit Bond, or check for $3,000 to the
City of Piedmont for the period of the proposed
move.
Note: To relocate a mobile home or any other temporary construction housing into the City Limits requires formal action
by the Piedmont Planning Commission and Piedmont City Council. Applications for this procedure must be submitted no
less than two weeks prior to consideration by the Planning Commission.
OTHER CONDITIONS FOR MOVE IN PERMITS:
Name of Applicant: __________________________________________________________________________________
Current Address of Applicant: __________________________________________________________________________
Phone Number: _____________________________________________________________________________________
Description of Structure: □ Mobile Home □ House □ Storage Building □ Other: _______________________________
Dimensions of Structure: ____________ Height ______________ Length ____________ Width
Present Location of Structure: _________________________________________________________________________
FOR TEMPORARY HOUSING DURING CONSTRUCTION:
□ Active City of Piedmont approved building permit for permanent structure
________________________________________________
Applicant’s Signature Date
________________________________________________
City Manager’s Signature Date
________________________________________________
Mayor (required for move in permit) Date
________________________________________________
Community Development Director Date
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signature
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