Ashland City Fire, Building &
Life Safety Department
101 Court Street
Ashland City TN 37015
Fire & Life Safety: (615) 792-4531 – Building Codes (615) 792-6455
DATE RECEIVED:__________________ APPLICANT INTERVIEW DATE:_______________
ZONING INTERPRETATION AND DETERMINATION APPLICATION
Phone: (615) 792-6455 Fax: (615) 792-7100
jmcclain@ashlandcitytn.gov
Instructions: Please print (in ink) all requested data
Property Owner:_______________________________________ Phone:____________________
Address:________________________________________________________________________
Suite/Apt: _________________________________________
Property Address: ________________________________________________________________
Mat # ______________________ Parcel #:____________________________
Applicant:____________________________________________ Phone:_____________________
Address: ________________________________________________________________________
Description of existing use and site: (Include as much detail as possible)
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Description of proposed project and use: (Include as much detail as possible)
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
If the applicant is not the property owner a notarized statement designating a legally authorized agent is
required before application approval or issuance of a permit.
Signature:_________________________________________ Date:______________________
______ Owner _____ Authorized representative
click to sign
signature
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Submit together with applicable evidence of:
_____ Preliminary Site Plan (Sketch drawing may be acceptable for zoning interpretation and review
application)
_____ Notarized representative statement
This Zoning Review Application is for the purpose of reviewing proposed projects for compliance with the
zoning ordinances. Based on a review of this application, additional materials may be required before making
application to the Planning Commission.
Staff comments will be completed and available to the application within ten (10) days, excluding holidays.
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