Fillable Temporary Use Permit VILLAGE OF LINCOLNSHIRE

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Temporary Use Permit VILLAGE OF LINCOLNSHIRE

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The Temporary Use Permit VILLAGE OF LINCOLNSHIRE form is 2 pages long and contains:

  • 2 signatures
  • 11 check-boxes
  • 60 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Village of Lincolnshire

BROWSE VILLAGE OF LINCOLNSHIRE (IL) FORMS

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1 Olde Half Day Road, Lincolnshire, IL 60069
www.lincolnshireil.gov
P: 847-883-8600
F: 847-883-8608
Page 1 of 3
STAMP HERE
TEMPORARY USE PERMIT APPLICATION
OFFICE USE ONLY
Permit #:
PROJECT INFORMATION
Property Address (including lot / suite #):
City:
State:
Zip Code:
Applicant Name:
Email:
Phone:
Cell:
Fax:
TEMPORARY EVENT
Garage sale (residential)
Mobile service
Temporary sales
Farmers market
Mobile food vendor
Temporary event
Holiday decoration sales lot
Event Start Date:
Event Start Time:
a.m.
p.m.
Event End Date:
Event End Time:
a.m.
p.m.
Rain Date (garage sales only):
SUBMITTAL STATEMENT
I, _______________________, certify that to the best of my knowledge the information contained in
this Application, attached plans and specifications, and other attached documentation is true. I further
recognize that I have read and understand the regulations associated with my Temporary Use request
and any conditions that may be assessed by the Village upon the issuance of any permit.
Signature: Date:
REQUIRED DOCUMENTS
Garage/Estate Sale Documents
Temporary Use Permit Application (first page of application only required)
$10.00 non-refundable permit fee
Temporary Use Documents
Temporary Use Permit Application
Site plan of the property/structure to be used for the temporary use (drawn to scale) - include all
information necessary to accurately locate and portray the temporary use on the premises.
Detailed written description of the proposed temporary use and/or illustration of building elevations
for any proposed temporary structure.
Landlord/property owner consent (see page 2 of this form)
Two sets of all aforementioned documents
OFFICE USE ONLY – GARAGE SALE PERMITS
This permit for garage sale is hereby approved, based upon the information contained in this application
and provisions of the Lincolnshire Village Code.
Authorization: Date:
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Temporary Use Application – Village of Lincolnshire, IL – Community & Economic Development
1 Olde Half Day Road, Lincolnshire, IL 60069
www.lincolnshireil.gov
P: 847-883-8600
F: 847-883-8608
Page 2 of 3
CONTACT INFORMATION (not required for garage sales)
Applicant Information
Name:
Company:
Email:
Address (including suite #):
City:
State:
Zip Code:
Phone:
Cell:
Fax:
Property Owner Information (if different than Applicant)
Name:
Company:
Email:
Address (including suite #):
City:
State:
Zip Code:
Phone:
Cell:
Fax:
Tenant Information (if different than Application, requires property owner authorization)
Name:
Company:
Email:
Address (including suite #):
City:
State:
Zip Code:
Phone:
Cell:
Fax:
Event Manager Information (required for farmers markets and temporary events)
Name:
Company:
Email:
Address (including suite #):
City:
State:
Zip Code:
Phone:
Cell:
Fax:
LANDLORD/PROPERTY OWNER APPROVAL STATEMENT
A separate landlord/property owner approval letter may be submitted in lieu of completing the following
approval statement. Any such letter must be on company letterhead of the ownership party, include a
statement granting authorization for the submittal of this application and corresponding
plans/documents, and be attached to this application.
I, __________________________________, certify that as the property owner, landlord, or authorized
agent, as identified herein, I have reviewed the information contained in this application, attached plans,
specifications, and other attached documentation and hereby authorize the submittal of this application,
attached plans, specifications, and other attached documentation for the temporary use event at the
location(s) and time(s) identified.
Signature: Date:
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signature
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Temporary Use Application – Village of Lincolnshire, IL – Community & Economic Development
1 Olde Half Day Road, Lincolnshire, IL 60069
www.lincolnshireil.gov
P: 847-883-8600
F: 847-883-8608
Page 3 of 3
PERMIT CONDITIONS & TERMS
A Temporary Use Permit may be subject to such special conditions and restrictions on the location
and operation as deemed reasonably necessary to protect the public health, safety, and welfare
based on specific site considerations (excluding garage sales).
The Temporary Use Permit shall be revoked if any of the standards and conditions imposed pursuant
to Section 6-3-6 of the Lincolnshire Village Code, or this permit, are violated.
Temporary Use Permits are valid for one year from the date of issuance and must be renewed each
year (excluding garage sales).
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Temporary Use Permit VILLAGE OF LINCOLNSHIRE

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Completed 13 July 2020

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