Docstoc

compliance

Document Sample
compliance Powered By Docstoc
					                           Application for a Certificate of Zoning Compliance

                                    Sangamon County Zoning
                                   Room 213 – County Building
                             200 South Ninth St., Springfield, IL. 62701
                    (217) 753-6760 * (FAX) 535-3111 * (E-Mail) sscrpc@fgi.net

TAX ID # ___________________________________________             DATE: _________________________________

OWNERS NAME: _____________________________________________________________________________

MAILING ADDRESS: __________________________________________________________________________

DAYTIME PHONE NUMBER: ___________________________________________________________________

CONTRACTOR: ______________________________________________________________________________

CONTRACTOR’S ADDRESS: ___________________________________________________________________

LEGAL DESCRIPTION: ________________________________________________________________________

_____________________________________________________________________________________________

STRUCTURE SIZE: WIDTH _____ LENGTH _____ HEIGHT _____ TOTAL SQUARE FOOTAGE __________

WHAT ARE YOU BUILDING? __________________________________________________________________

PROPOSED USE OF THE STRUCTURE: __________________________________________________________

DATE PROPERTY WILL BE STAKED FOR INSPECTION: _________________ TOWNSHIP_______________

IS PUBLIC WATER AVAILABLE? _______________ IS PUBLIC SEWER AVAILABLE? _________________

COST OF CONSTRUCTION (EXCLUDING LAND): ________________________________________________

SIGNATURE: ________________________________________________________________________________
DISCLOSER: By signing this application, you are stating that everything is true to the best of your knowledge. Any
false or inaccurate information will cause this application to be null and void.


                                              OFFICE USE ONLY

FRONT YARD: __________ REAR YARD: __________ SIDE YARD: __________ SIDE YARD: __________

EXISTING ZONING: _____ LOT OR PARCEL SIZE: _______________ INSPECTION DATE: ____________

FEE PD: _______________ RECORD NUMBER: _______________ PUBLIC HEALTH OK: _______________

SIGNATURE OF INSPECTOR: _________________________________________________________________

SENT FOR ADDRESSING: ______________________ ADDRESS RECEIVED ON: ______________________

ADDRESS FROM 911: ________________________________________________________________________

DRIVEWAY CULVERT: NEW ________________ EXISTING ________________ NONE _________________
    Application for a Certificate of Zoning Compliance

                Sangamon County Zoning
               Room 213 – County Building
         200 South Ninth St., Springfield, IL. 62701
(217) 753-6760 * (FAX) 535-3111 * (E-Mail) sscrpc@fgi.net



                        SKETCH
              (SHOW DRIVEWAY LOCATION)

				
Fighting Yank Fighting Yank
About These documents were primarily taken from government websites as part of a personal project to archive political and governmental documents on Docstoc. Please email gov.archive.project@gmail.com for prompt removal if you discover a copyrighted document. Thank you!