Temporary Use
Permit
Application
OFFICIAL USE ONLY:
UDO Number:
Date Filed:
Amount Paid:
Received By:
Contact Information
APPLICANT
Name:
Name:
Address:
Address:
Telephone:
Telephone:
Fax:
Fax:
Email:
Email:
LEGAL RELATIONSHIP OF APPLICANT TO PROPERTY OWNER:
Property Information
Physical Street Address
Parcel ID Number(s):
Existing Land Use of Property
(Temporary uses or structures in a special flood hazard area shall not remain on site for more than three months)
Please check the applicable use below:
Construction Related Activities for New
Construction (offices, storage, parking, etc)
Expansion or Replacement of Existing Facilities
(offices, residences, etc.)
Garage or Yard Sales
Outdoor Seasonal Sales
Real Estate Sales Office / Model Sales Home
Temporary Campground
Temporary Keeping of Livestock
Portable Shipping & Storage Containers
Temporary Tent
Special Event
Temporary Use Information:
On reverse, provide detailed description of proposed temporary use or special event, and provide
timeframe of Temporary Use (if special event provide dates & hours).
Property Owner(s) / Applicant Date
*Note: Form must be signed by the owner(s) of record, contract purchaser(s), or other person(s) having a
recognized property interest. If there are multiple property owners/applicants, all must sign.
Provide detailed description of proposed temporary use or special event:
Provide timeframe of Temporary Use (if special event provide dates & hours)