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Accessory Structure Zoning Permit Application

2. Date
   Date

3. Permit

4. Fee

6. Address1

8. Address2

10. City

11. State

12. Zip

14. Zoning District

15. Lot Number

16. Parcel ID

18. Subdivision

20. Property Owner

21. Telephone

23. Contractor

24. Telephone

26. Address1

28. Address2

30. City

31. State

32. Zip

34. Accessory Structure Size

    Width by height in feet

35. Total Square Feet

37. Distance from Rear Lot Line

    Feet

38. Distance from Side Lot Line

    Feet

40. Accessory Structure Height

    Feet

42. I hereby certify that I am the property owner, or am authorized to act as the owner’s agent in obtaining this permit. I further certify that all of the information and attachments submitted with this application are true and correct to the best of my knowledge and that the property owner is responsible for locating and verifying all property lines and boundaries. I understand that if this information is incorrect or incomplete, any permit issued may be invalid and the property owner may be required to remove this structure at his/her own expense. I hereby consent to the inspection of the subject property and of any buildings or structures relevant to this application. Any deviation from the approved plans will require submission and approval of the revised plans.

    1. I Agree
44. Signature

46. This Application Is

    1. Approved
    2. Disapproved

47. Planning Department

49. Date
    Date

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50. Print Only

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