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Application for Zoning and/or Building Permit
Application for Zoning and/or Building Permit
Borough Staff
2022-09-01T00:11:49+00:00
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Site Address
*
Address Line 1
Address Line 2
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State
Zip Code
Owner/Applicant Name
*
First
Last
NOTE Owner must sign this form submission below
Owner/Applicant Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Owner/Applicant Phone
*
Owner/Applicant Email
*
Contractor Name (if applicable)
*
First
Last
Contractor's PA Registration No. (if applicable)
Contractor Phone (if applicable)
Contractor's Email (if applicable)
Type of Work or Improvement
*
Residential
Commercial
Project Description
*
Project Dimensions (list length, width, and height)
*
Setback Measurement from Front Property Line in ft.
*
Setback Measurement from Side Property Line in ft.
*
Setback Measurement from Rear Property Line in ft.
*
Project Cost Estimate ($)
*
If new home construction/addition, provide total new square footage
Upload Site Plan / Drawings/ Pictures
*
Click or drag a file to this area to upload.
Disclaimer and Consent
I hereby certify that I am the owner of record, or that I have been authorized by the owner of record to make this application for the proposed work, and I understand and assume responsibility for the establishment of all official property lines, right-of-way areas, and easements prior to the commencement of any project or construction. Further, I certify that all information provided in this application and all accompanying documentation is true and correct to the best of my knowledge, subject to the penalties of 18 Pa.C.S.A 54904 Unsworn Falsification to Authorities, and shall conform to all applicable local, state, and federal laws governing the execution of this project. I understand that failure to comply with applicable laws and regulations, omission or misrepresentation of facts, or change in findings may result in the immediate revocation of any granted approvals. I hereby grant permission to the Code Official and/or his/her representative to enter the property or areas in which work is being conducted within the scope of this requested permit, at any reasonable hour, to perform inspections for compliance and to enforce the provisions of all applicable Codes governing this project.
Owner/Applicant Signature and Date
*
Clear Signature
NOTE: If an agent is acting on the owner's behalf, a signed statement granting permission to said agent must be signed, dated, and submitted at the Borough office.
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