Fillable Use Permit Application City of Manchester 14318 Manchester (City of Manchester)

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Use Permit Application City of Manchester 14318 Manchester (City of Manchester)

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Rev 12/2017
City of Manchester
14318 Manchester Road
Manchester, MO 63011
P: (636) 227-1385 ex. 118
F: (636) 821-8099
pandz@manchestermo.gov
Name of Special Use Business:___________________________________________________________________
Address:__________________________________________ Phone:______________________________
City, State, Zip:_____________________________________ Email:______________________________
Holder of Special Use Permit:____________________________________________________________________
Address:__________________________________________ Phone:______________________________
City, State, Zip:_____________________________________ Email:______________________________
By signature, I hereby transfer my Special Use Permit to the individual/company listed below.
Holder’s Signature:______________________________________________________Date:___________________
Holder’s Name Printed:_________________________________________________________________________
Zoning Fees Fee paid on:______________________ Amount:_____________________
SUP Permit #:_______________________ Ordinance:___________________ SUPX Permit #:________________
Approved by:______________________________________________________Date:________________________
Director, Planning, Zoning and Economic Development
CURRENT SPECIAL USE PERMIT HOLDER
Transfer of Special
Use Permit
Application
Name of Business:_____________________________________________________________________________
Name of Transfer Holder:_______________________________________________________________________
Address:__________________________________________ Phone:______________________________
City, State, Zip:_____________________________________ Email:______________________________
ACCEPTANCE OF SPECIAL USE PERMIT TRANSFER
By signature, I hereby acknowledge and accept transfer of the Special Use Permit issued to the above, by Ordinance
No. so stated, relating to the property located at above address.
Recipient’s Signature:______________________________________________________Date:__________________
Recipient’s Name Printed:_________________________________________________________________________
OFFICE USE ONLY
REQUIREMENTS:
• Completed Special Use Transfer Application
• $200.00 Application Fee
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Use Permit Application City of Manchester 14318 Manchester (City of Manchester)

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Completed 23 January 2021

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