Zoning Permit – Town Of Bunn

Town Of Bunn Zoning Permit

Permit #

To be completed by Town Staff

Applicant Name *

First

Last

Business Name (if applicable)

Applicant Address *

Address Line 1

Address Line 2

City

State

Zip Code

Applicant Contact Phone Number *

Applicant Email *

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Current Zoning?

Tax Map #

Parcel #

___________________________________________________

Property Owner Name *

First

Last

Business Name (if Applicable)

Address

Address Line 1

Address Line 2

City

State

Zip Code

Property Owner Phone Number *

Property Owner Email *

Important: Please attach site plan to show lot and distance from property lines and size of existing and proposed structures.

Type Of Permit Applying For *

Please Choose One

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Map/Plan File Attachment *

Click or drag files to this area to upload. You can upload up to 3 files.

Max File Size 20MB

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Existing Site Condition or Use *

Brief Description

Proposed Use *

Brief Description

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Additional Information Section

Any pennant information

Applicant Certification: I certify that all of the statements made in this application and any attached documentation are true, correct to the best of my knowledge and belief and are made in good faith. I understand that false information may result in the rejection of this permit or subsequent revocation. Authorized town officials are granted right of entry to evaluations or inspections as to compliance and to release information upon public request. I understand that State and County permits may be required prior to occupancy of requested use. I further understand the Certificate of Compliance shall be required and issued by the Town Of Bunn prior to the County issuing a Certificate of Occupancy and/or commencement of the proposed use.

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Electronic Signature Of Applicant/Owner/Agent *

Applicant Initials *

Date *

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********* For Official Town Use Only ********* Utility Requirements: Yard (Setback) Requirements: Water: Well:_______ Town Water:_______ Front:________ Rear:_________ Sewer: Septic:_____ Town Sewer:_______ Side:________ Corner Lot:__________

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Request Requiring Zoning Board Approval (Check all that apply) *

Variance
Conditional Use
Special Use

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Zoning Board and Council Decision: Zoning Boar Approval: ______________ (If required please record date:_____________________) Town Council Approval: _____________ (If required please record date:_____________________)

This permit is issued pursuant to information contained herein and provided by the owner and or agent. Information determined to be false or failure to comply with all appropriate statutes, codes and regulations may result in the immediate revocation of this permit.

_________________________________________________________________ ___________________________ Zoning Administrator Date

Special Requirements / Notes: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________