Zoning Permit

Town Of Bunn Zoning Permit

Zoning Permit

Permit# *

* Indicates required field

Applicant Name *

First

Last

Business Name (if applicable) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Contact Phone# *

Current Zoning? *

Tax Map# *

Parcel# *

Email *

Property Owners Name *

First

Last

Business Name *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Property Owners Phone Number *

Important: Please attach site plan to show lot and distance from property lines and size of existing and proposed structures.

Type of Permit applying for *

Existing site condition or use *

Proposed Use *

Additional information section *

Applicant Certification:
I certify that all of the statements made in this application and any attached documentation are true, correct to the best of my knowledge and belief and are made in good faith. I understand that false information may result in the rejection of this permit or subsequent revocation. Authorized town officials are granted right of entry to evaluations or inspections as to compliance and to release information upon public request. I understand that State and County permits may be required prior to occupancy of requested use. I further understand the Certificate of Compliance shall be required and issued by the Town Of Bunn prior to the County issuing a Certificate of Occupancy and/or commencement of the proposed use.

Signature of Applicant/Owner/Agent *

Applicant initials *

Date *

********* For Official Town Use Only *********

Utility Requirements: Yard (Setback) Requirements:
Water: Well:_______ Town Water:_______ Front:________ Rear:_________

Sewer: Septic:_____ Town Sewer:_______ Side:________ Corner Lot:__________

Request Requiring Zoning Board Approval (Check all that apply)

__________ Variance

__________ Conditional Use

__________ Special Use

Zoning Board and Council Decision:

Zoning Boar Approval: ______________ (If required please record date:_____________________)

Town Council Approval: _____________ (If required please record date:_____________________)

This permit is issued pursuant to information contained herein and provided by the owner and or agent. Information determined to be false or failure to comply with all appropriate statutes, codes and regulations may result in the immediate revocation of this permit.

_________________________________________________________________ ___________________________
Zoning Administrator Date

Special Requirements / Notes:

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