Zoning Permit Application Form - City Of Waterville
Download a blank fillable Zoning Permit Application Form - City Of Waterville in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Zoning Permit Application Form - City Of Waterville with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1City of Waterville
Application for Zoning Permit
______________
PLEASE PRINT
Application Number
□
□
Construction
Demolition
Address
Zoned ____ Parcel #____________
______________________________________________________________________
Description of Work: (e.g. new home, retail building, shed, addition, demolition, etc.)
_________________________________________________________________________________________
Proposed Structure Size: L_________ W _________ H _________ Total Sq. Ft. Floor Area ______________
Attach dimensioned site plan showing parcel boundaries, north arrow, street/roadway, address, existing and
proposed structure locations, driveway, parking areas, sidewalk, and a drawing/sketch of the proposed
structure showing L, W, H, distance to property lines
Will proposed construction require: Water Tap □ Sanitary Sewer □ Storm Sewer □ Sidewalk □ Driveway □
Applicant must provide Contractor and Subcontractor information to the Regional Income Tax Agency unless
ALL work is self-performed by Property Owner. Forms are available at
General Contractor: ______________________________ Address: __________________________________
Telephone: __________________________ Cell: ______________________ E-mail:_____________________
APPLICANT
PROPERTY OWNER (IF NOT APPLICANT)
Name: _________________________________
Name:_______________________________________
Address: _______________________________
Address:_____________________________________
Telephone: _____________________________
Telephone: ___________________________________
E-mail: ________________________________
E-mail: ______________________________________
The applicant certifies that this application, with attachments, is complete and accurate;
any
permit issued upon a false statement of fact material to the issuance hereof shall be void. The Zoning Permit shall
be valid for a period of twelve (12) months after the date of issuance. A Building Permit, available from Lucas
County Building Regulations (419) 213-2990 may also be required for this work.
________________________________________________________
___________________
Applicant Signature
Date
OFFICE USE ONLY
_______________________________________________________
________________________________________________________
FEES
□
□
$____________ Zoning Permit
Historic District
Floodplain
Permit #_________
$____________ Driveway & Sidewalk
Residential Overlay
___________
$ ___________ Storm Sewer Permit
Commercial Overlay
___________
$ ___________ Sanitary Sewer Permit
Special Use Permit
___________
$ ___________ Water Permit
Conditional Use Permit
___________
$____________ Other (specify)
Comments ______________________________________
$ ____________
_______________________________________________
TOTAL
_______________________________________________
Receipt # __________ Date __________
□
□
□
WATERVILLE
LUCAS COUNTY
APPLICANT
Contact Lucas County at (419) 213-2990 for Building Permit Information
Revised 12-15
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal