Office Use Only
Permit Number
_______________
Application for
Zoning Determination Letter
1410 24
th
Avenue
Gulfport, Mississippi 39501
(228)-868-5710
Applicant Information
Name of Applicant: ___________________________________
Address: _____________________________________________
Phone: __________________
Email: __________________
Applicant’s connection with the subject site (Owner, Lessee, etc.).
_________________________
Date of Request: _____________________
Property Information
Tax parcel number of subject site: __________________________
Address of subject site: ____________________________________
Legal description (optional): _______________________________
Is the request for:
Please check one: Proposed Use Current Use
State the use: __________________________
(examples include: restaurant, car sales, multi-family, and rooming house)
Along with the above information, a payment of $17.25 is required before a
Zoning Determination Letter is issued. Payments are made out to the City of
Gulfport.