Town of Mills Permit #_________________
704 Fourth Street / PO Box 789
Mills, WY, 82644 Zoning # ________________
307-234-6679
Town Administrator: _______________________________________
Zoning Certificate Application
2. OWNER INFORMATION:
Name:
3. CONTRACTORS INFORMATION: LICENSE# ______________
Name:
CHECK ALL THAT APPLY:
□ NEW CONSTRUCTION □ SINGLE-FAMILY □ MULTI-FAMILY □ ADDITION □ REMODEL
□ ATTACHED GARAGE □ DETACHED GARAGE □ PATIO COVERS □ CAR PORT □ SHED
□ DECKS/PORCHES □ FENCE (Material:_______________________; Height:_______)
□ OTHER_____________________________ TOTAL SQUARE FOOTAGE __________________
CHECK ALL THAT APPLY:
□ NEW CONSTRUCTION □ NEW USE □ REMODEL □ ADDITION □ MULTI-FAMILY
□ OUT BUILDING □ FREE STANDING SIGN □ TEMPORARY SIGN □ WALL SIGN
□ PATIO COVERS □ FENCE (Material:_______________________; Height:_______)
□ OTHER_____________________________ TOTAL SQUARE FOOTAGE __________________
List all existing structures, including size, on the subject parcel :
Explain use/project in detail (Residence type, business name, type of business, materials to be stored, etc.)
BUILDING SETBACKS
FRONT:__________ REAR:__________ SIDE YARD:__________ CORNER:__________ CORNER LOT STREET SIDE:__________
ZONING REQUIREMENTS
FLOOD PLAIN DESIGNATION (100, 500, 1,000, NONE...):_______________ ZONING DISTRICT:_______________
MAXIMUM HEIGHT:_______________ MINIMUM LOT SIZE:_______________ MINIMUM OPEN SPACE:_______________
REQUIRED PARKING:_______________ REQUIRED LANDSCAPING:_______________ OTHER:_________________________
WATER: □ YES □ NO SEWER: □ YES □ NO FIRE HYDRANT WITHIN 500’: □ YES □ NO
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances
governing this type of work will be complied with whether specified herein or not. The granting of a zoning certificate does not presume to give
authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction.
Signature of Authorized Agent: ___________________________________ _______________ Date: ___________________________
Comments, Conditions, Restrictions:____________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Approvals
Town Planner: _______________________________________ Building Inspector: _______________________________________
click to sign
signature
click to edit
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