Piggy Back Application (Telecommunications Tower)

Request conditional use zoning permit for a telecommunications tower.

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.

All owners or representative 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.

A new permit fee of $200.00 will be charged for late applications.

Note: If your attorney will be present or handling this matter please contact the secretary.

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(Required)

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

Name and Addresses of property owners across the street

Name

Address

Permit Type(Required)

New ($200)

Renewal ($125)

New/Co-Existing Aerial Tower Permit ($200)

Renewal of Aerial Tower Permit Including Piggy Back ($125)

Total

Payment Method(Required)

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name