Version 07/17/2017 Zoning Compliance Permit
REQUIRED INFORMATION (to be submitted with the application)
The following items must accompany a Zoning Compliance Permit application (if not applicable, check “n/a.”)
To be completed by the applicant:
To be completed by staff:
1. Permit Review Fee ($50.00 - check or exact amount)
3. Owner’s Consent Form
Required if applicant is not the property owner.
4. A copy of a current site plan and/or survey to scale
which identifies project boundaries and lot dimensions,
acreage, structures (size and location), setbacks,
parking and circulation, impervious surface area and
percentage of lot coverage.
lete plan will result in a delay in the
processing of the permit.
Required for site improvements (new buildings, decks, pools,
Approval of the Flood Plain Administrator if the
development request will take place within a
6. For mobile homes, list the make, model, year and
size (square footage) of home below.
7. Verification of received or current Wastewater
I/We, the undersigned, do hereby make application and petition to the Planning Department of the Town of
Clayton to approve the subject Zoning Compliance Permit. I hereby certify that all activities will be carried out
in compliance with the Unified Development Code and understand that violations will result in a Code
Enforcement action and fine. I further certify that I have full legal right to request such action and that the
statements or information made in any paper or plans submitted herewith are true and correct to the best of my
knowledge. I understand this application, related material and all attachments become official records of the
Planning Department of the Town of Clayton, North Carolina, and will not be returned.
_______________________ __________________________ _____________
Print Name Signature of Applicant Date
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