Home Occupation Permit / Conditional Use Permit Form

APPLICATION SHALL BE RECEIVED BY THE FIRST OF THE MONTH.

If application is not received by the first of the month or no response is made, we consider you not wishing to renew application.

If you continue to operate a business without a permit, you will be in violation of our zoning.

A new permit fee of $175.00 will be charged for late applications.

All owners and applicants must be present at scheduled hearing or it will be tabled until you can be present.

You will be notified of date and time of hearing.

Present Zoning District(Required)

Description of proposed conditional use(Required)

Applicant Info

Applicant Name(Required)

First Last

Applicant Address(Required)

Street Address Address Line 2

Applicant Phone #(Required)

Owner Info

Owner Name(Required)

First Last

Owner Address

Street Address Address Line 2

Owner Phone #(Required)

Legal Representation

Attorney Involvement?

My attorney will be present at the hearing

My attorney will handle this matter at the hearing

Attorney Name(Required)

First Last

Attorney Address(Required)

Street Address Address Line 2 City State ZIP Code

Attorney Phone(Required)

Attorney Email(Required)

Adjoining Property Info

Name and addresses of adjoining property owners(Required)

Name

Address

Click the "+" to add more rows

Name and addresses of property owners across the street

Name

Address

Click the "+" to add more rows

Permit Type(Required)

NEW ($175.00)

RENEWAL ($75.00)

NEW/CO-EXISTING AERIAL TOWER PERMIT ($200.00)

RENEWAL OF AERIAL TOWER PERMIT INCLUDING PIGGYBACK ($125.00)

Total

Payment Method(Required)

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name