BLOCK____________ LOT(S)____________ on tax map
Building Location__________________________________________________________________________
New Business Applicant_____________________________________________________________________
Mailing Address of Applicant________________________________________________________________
Phone Number of Applicant__________________________________________________________________
Owner of Building_________________________________________________________________________
Address of Building Owner__________________________________________________________________
Zone District____________ Area of Property____________
Total No. Tenants____________ Total Number of Parking Spaces____________
Description of Proposed Use
*Please use separate letterhead for
detailed description of use.
Number of Employees____________ New Signage Proposed____________
Last Previous Occupant____________ Name of New Business_________________________________
Square Feet Allocated for Use____________
Number of Parking Spaces Allocated for Use____________
Description of Proposed Construction,
Alteration of Site
Work______________________________________
________________________________________________________________________________________
Office Use
Only Application: Granted__________ Granted/Conditions__________ Denied______________ Date_______________ _________________________________ Signature of Zoning
Officer or Planning
Director
____________________________________
Signature of Applicant
Date
_____________________________________
Print
Name
_____________________________________
Signature of Building
Owner
______________________________________
Print
Name
PERMIT
APPLICATION WILL NOT BE ACCEPTED WITHOUT A CURRENT SURVEY OR APPROVED SITE
PLAN