Description of Use:
Single Family (1,2,3 units)
Multi-Family (4+ units)
Commercial: Total square footage of Building:
Explain scope & scale of intended use:
OWNER AUTHORIZATION FOR REPRESENTATIVE– (PLEASE PRINT)
I,
, the Property Owner listed above, hereby authorize
to act as my representative and agent in all matters
I,
,the applicant or the authorized representative, have
FOR OFFICE USE ONLY
Zoning Certificate Number Assigned:
• ALL commercial projects
• Residential NEW BUILDS
• Residential alteration or addition w/
change of egress or footprint
PHONE
What requires a Zoning Application/Certificate?
PHONE
Occupancy Walk-thru $75 (Res) or $100 (Com) + $100 per unit (Res or Com) or + $300 max M-Fam
Zoning Application/Certificate
ONE (1) COPY OF A SCALED SITE PLAN & FLOOR PLAN DRAWNG, IN INK, MUST
ACCOMPANY THIS APPLICATION,
including all current structures, property lines, setbacks, and easements in
addition to all proposed structures and site improvements. All proposed work whould be dimensioned and labeled.
Additional documentation may be required.Partial or incomplete applications and drawings cannot be processed and will
be returned to the applicant (not required for sign renewals).
OCCUPANT:
I/We, the undersigned, hereby apply for a Zoning Certificate:
Present Use(s) on Land or in structures(s):
OCCUPANT'S E-MAIL
APPLICANT/AUTHORIZED REPRESENTATIVE
ADDRESS OF APPLICANT/AUTHORIZED REPRESENTATIVE
(Notary services are available at the Building Division counter-Signee must be present)
ADDRESS OF SUBJECT PROPERTY OR PARCEL ID
Residential:
Present Zoning:
(if vacant, so indicate, and state when vacancy began and what use was made of property before vacancy)
Required Signatures:
read and understand the contents of this application. The information contained in this application, attached exhibits and
other information submitted is complete and in all respects true and correct, to the best of my knowledge and belief.
Signature of Applicant or Authorized Representative:
Subscribed and sworn to before me this _____ day of ___________, 20_____.
Notary Public ___________________________________________________
Signature of Current Property Owner (listed above):
Subscribed and sworn to before me this _____ day of ___________, 20_____.
Notary Public ___________________________________________________
APPLICANT’S AFFIDAVIT – (PLEASE PRINT)
Routing for occupancy walk-thru: Via e-mail - CBO / City Planner/ Zoning Code Enforcement / NTFD
Routing: to City Planner with plan review
Existing Use Certified (NC) Occupancy Walk-thru required Zoning Cert. not required (“X”)
pertaining to the processing and approval of this application including modifying the project, and I agree to be bound by
all representations and agreements made by the designated agent.
Authorized Signature
Date
614.334.2444
revised 7.1.2017
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