Application for New Construction

I request approval of the plans, specifications and location for construction on the premises of the following checked items.

Single Family Residence

Multi-Family Residence

Exterior Paint Color

Trim Color

Living Square Footage:

Total Square Footage:

Setbacks: Front

Setbacks: Side

Setbacks: Back

Setbacks: Side

Other Information:

PLEASE NOTE: Property must have a port-a-potty and dumpster on site. Lots need to be maintained, and debris removed (routinely) during construction

A copy of the plans or a scale drawing of the proposed construction showing all dimensions including square footage, setback locations, utility easements, and location of septic system and drain field must be attached to this application. If any changes are made to these plans, you must apply for a new permit.

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Location: Lot No.

Block No.

Village No.

Street Address

Owner: Name:

Owner: Address:

Owner: Telephone:

Owner: Email:

Contractor: Name:

Contractor: Address:

Contractor: Telephone:

Contractor: Email:

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