Zoning Permit Application

Fill out the application below or download the printable version, here.

*Application is hereby made for a Zoning Permit in accordance with the description and for the purpose hereinafter set forth. This application is made subject to all the local and state laws and ordinances and which are hereby agreed to by the undersigned and which shall be deemed a condition entering into the exercise of this permit.

*NOTE: This permit is subject to approval for sewage disposal system & well location of same from County Health Department.

Filing Fee: $25.00

Name of Owner

Owner's Address

Name of Contractor/Builder

Contractor/Builder Address

Name of Architect/Designer

Architect/Designer's Address

Certified State Contractors No.

If for Alterations or Repairs, State Nature:

If for Advertising Structure, State Location and Size:

If for New Construction, State Use:

Water Supply

Sewage Disposal

Location Description

Lot Description

Lot Size

Please Confirm The Following:

I hereby certify that on January 1 the land described is listed in the name of:

Landowner Name

Upload A Plot Plan (JPG, PNG, PDF)

Upload Construction Plans (JPG, PNG, PDF)

Please Confirm The Following:

I hereby certify that I have the authority to make the foregoing application, that the information given is correct and that the construction will conform with the regulations in the Building Code, Zoning Ordinances, and private building restrictions, if any, which may be imposed upon the above property deed.

Name of Owner or Authorized Agent

Owner or Authorized Agent's Address

Owner or Authorized Agent's Phone Number

Owner or Authorized Agent's Email

Welcome to

White Stone

Incorporated 1953

Zoning Permit Application

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