Improvement Location Permit

Permit No:

Receipt No:

§ 155.095 Improvement Location Permit Required; Permit Fee: Within the city, and the contiguous unincorporated portions of the county over which the city exercises planning and zoning jurisdiction, no structure, improvement, or use of land may be altered, changed, placed, erected, or located on platted or unplatted lands, unless the structure, improvement, or use, and its locations, conform with the master plan and ordinances of the city and an improvement location permit for the structure, improvement, or use has been issued.

§ 155.096 Plat or Site Plan Required with Improvement Location Permit Application: Each application for an improvement location permit shall be accompanied by a plat or site plan, in duplicate, drawn to scale, showing any information necessary for the enforcement of this chapter.

Applicant / Contractor Information

Applicant / Contractor Name:

Phone Number:

Email:

Site Information

Owner Name:

Phone Number:

Email:

Owner Mailing Address:

Site Address (If different from above):

Parcel ID:

Acreage:

Zoning:

Existing Use:

Existing Utilities:

Water

Sewage

Electric

Gas

Project Information

Scope of Work:

Cost of Improvement:

Proposed Utilities:

Water

Sewer

Electric

Gas

Square Feet:

Height: