SIGNATURE OF ZONING ADMIN______________________________________________ DATE ____________________________
SIGNATURE OF BUILDING INSPECTOR_________________________________________ DATE_____________________________
ZONING CHARGE:
INSPECTION CHARGE:
TOTAL:
Building/site Address for Fence Location
VILLAGE OF BROOKLYN
P.O. Box 189
210 Commercial Street
Brookyn WI 53521
Phone 608-455-4201
Fax 608-455-1385
www.brooklynwi.gov
FENCE PERMIT
APPLICATION
PERMIT #___________
ZONING ADMINISTRATOR
ROB ROTH 608-697-5857
robert@rpsprofessionalsolutions.com
VILLAGE BUILDING INSPECTOR
DAVE GERATHS
608-697-7776
dgeraths@generalengineering.net
Owner's Name
Phone Number
Email address
Mailing Address
Applicant's name if different than Owner
Phone Number
Email address
Mailing Address
Type of Fence Material
Height (specify inches/feet)
Any special circunstances which should be considered:
ANTICIPATED START DATE:
In area below (or as an attachment) provide a site plan showing the shape of your lot with dash lines; house, garage and/or other buildings in
approximate location, and proposed fence location with a solid line. Include dimensions from property line to fence, and the size/position of any
existing and proposed gates.
NOTE: It is the responsibility of the applicant and/or owner for location of the fence so that it is placed on the owner's property.
Diggers Hotline (800-242-8511) shall be called prior to digging any holes.
The owner/applicant agrees to comply with Section 117-1015 and all other applicable Ordinance requirements; understands that the issuance of the
permit creates no legal liability on the Village and certifies that all of the submitted information is accurate.
SIGNATURE OF OWNER ____________________________________________________ DATE ____________________________
REPLACEMENT
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