House Moving Permit Application Form - City Of Bowling Green

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Filing Date: _____________
City of Bowling Green
House Moving Permit
Neighborhood and Community Services
Application
707 E. Main Ave
PO Box 430
Bowling Green, KY 42102-0430
Please Print Clearly in Ink or Type
Phone: 270-393-3676 & 270-393-3615
Fax: 270-393-3223
Permit # HM2016-
EXISTING LOCATION OF HOUSE
Permit Address __________________________________________ Suite/Unit/Apt __________ Zip Code ____________
Subdivision _____________________________ Project/Development Name ___________________________________
Lot # ___________
Building # ____________
NEW LOCATION OF HOUSE
Permit Address __________________________________________ Suite/Unit/Apt __________ Zip Code ____________
Subdivision _____________________________ Project/Development Name ___________________________________
Lot # ___________
Building # ____________
PROJECT INFORMATION
Purpose of Moving the House ________________________________________________________________________
House Area:
Length ___________
Width ___________
Total Square Footage ___________
Removal Cost $_______________________
After the house is moved the property will be used for…
Grassy Area
*Parking Lot
*Site for a New Building
Footings and Foundations must be removed from the site.
* Additional Permits required for construction and improvements
APPLICANT INFORMATION
Applicant ___________________________________
Street Address _______________________________________
City _________________________________
State ______
Zip Code _____________
Suite/Unit/Apt # ________
Email __________________________________
Phone _____________________
Mobile _____________________
Check all that apply to Applicant’s Role:
Owner
Contractor
Other__________________
Primary Contact ________________________________________ Office Phone _________________________________
Email ________________________________________________ Mobile Phone_________________________________
Fax ________________________________________
It is your responsibility to contact the other authorities before transporting the home on the roadway.
December 7, 2015
Doc # 597627

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