Fillable Easement Encroachment Easement Encroachment Form (City of Grove City)

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Easement Encroachment Easement Encroachment Form (City of Grove City)

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U.S.A. forms for City of Grove City

BROWSE CITY OF GROVE CITY (OH) FORMS

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Grove City Building Division
4035 Broadway
Grove City, OH 43123
614-277-3075 (Phone)
614-277-3090 (Fax)
GroveCityOhio.gov
PROPERTY OWNER INFORMATION (MUST BE COMPLETED BY PROPERTY OWNER)
Name__________________________________________________________________________________________________________________
Address ______________________________________________________________________ Grove City, OH 43123 Lot _______________
Subdivision___________________________________________________________________________________________ Zoning __________
Phone_________________________________ Email___________________________________________________________________________
OWNER SIGNATURE _____________________________________________________________________________ Date __________________
EASEMENT
ENCROACHMENT
EASEMENT TYPE
o Storm Sewer o Electric
o Sanitary Sewer o Water
o Other ________________________________________
TYPE OF ENCROACHMENT
o Driveway o Swing Set / Play Equipment
o Deck / Patio o Shed / Storage Building
o Other _______________________________________
THIS IS NOT A PERMIT. A PERMIT MUST BE OBTAINED FROM THE BUILDING DIVISION.
Provide/attach a detailed sketch of the property and the location of existing easement with encroaching item below:
___________________________________________ _________________
City of Grove City Service Director Date
APPROVED
NOT APPROVED
PLEASE NOTE: if the need arises for repair work in this easement, any removal, damage or replacement of anything within
the easement will be at the expense of the homeowner.
Revised 4/2019
o
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Easement Encroachment Easement Encroachment Form (City of Grove City)

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Completed 14 July 2020

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