General Application Form Town Of Lake Waccamaw printable pdf download

General Application Form Town Of Lake Waccamaw

GENERAL APPLICATION FORM

TOWN OF LAKE WACCAMAW

Application No. _______

Date _______

Permit Fee ________

Receipt # __________

Permit or Relief Requested:

____ Appeal ______ Variance

Applicant ________________________

Owner _____________________________

Address __________________________

Address ____________________________

_________________________________

___________________________________

Telephone ________________________

Telephone __________________________

Legal relationship of applicant to property owner _______________________________

Purpose of permit ________________________________________________________

Property Location ________________________________________________________

Street Address

Tax Map ___________________

Block ______________

Lot ______________

Lot Size ____________________

Sq. Feet ____________

Zoning District _____

No. of buildings to remain ______

Gross floor area to remain ____________________

No. of buildings proposed ______

Gross floor area of proposed buildings __________

Total sq. footage of land to be disturbed ________________

Estimated cost of project $___________________________

If needed to illustrate appeal or request for variance, attach plot plan.

____________________________________________

Signature of Applicant

General Application Form Town Of Lake Waccamaw