Affidavit Of Use

							                                    AFFIDAVIT OF USE OF PROPERTY

Attach legal description and indicate P.I.N. #: _______________________________________________

Common address:_____________________________________________________________________

I ___________________________________________________________________________________

do hereby certify that the building for which I have applied for a building permit.

____________________________________________________________________________________

                                           DESCRIBE BUILDING

is to be used for the purpose of: (provide details & be specific, continue on other side if additional space is

needed) _____________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

and for no purpose other than those specifically allowed in the _____________________ Zoning District.



Cost of Construction: ________________________________________________________________

Plumbing (includes any water hookup): __________________________________________________

Electrical: ___________________________________________________________________________



___________________________________________________________ being first duly sworn, on oath

deposes and says, that if there is any electrical or plumbing installation:

        I UNDERSTAND I MUST FIRST APPLY FOR A PERMIT FOR ELECTRIC AND

        PLUMBING THROUGH THE LAND USE DEPARTMENT BUILDING DIVISION.



SUBSCRIBED & SWORN BEFORE ME ON THIS _______ DAY OF ____________20 _____.



_________________________________                  _____________________________________________
NOTARY PUBLIC SEAL                                 SIGNATURE OF OWNER


_________________________________                  _____________________________________________
SIGNATURE OF NOTARY                                SIGNATURE OF ZONING OFFICIAL