BERLIN TOWNSHIP, OHIO
The undersigned applies for a zoning permit for the following use, said permit to be issued on the basis of the information contained within this application. The applicant hereby certifies that all information and attachments to this application are true and correct. The applicant is required, in addition to the information requested on this form, to submit plans and drawn to scale, showing the actual dimensions and shape of the lot, exact sizes and locations of existing buildings on the lot and, and the location and dimensions of the proposed buildings or alterations.
- Erie Co. Tax Parcel number of lot to be built upon
- Name of Owner:
Phone Numbers: Home Work
- Existing Use:
- Property presently zoned as:
- Proposed use and cost of building, addition, accessory building, etc.:
Check mark here if proposed structure is for:
Personal use ______ Farm use ______ Business use ______ Industrial use ______
Residence $ Single family Yes / No No. of Units
New Construction $ Business $
Remodeling addition $ Industry $
Accessory Building $
Sign $_________________ Size of Sign ___________________
Wind Turbine $____________________
Height at tip of blades _________________
Swimming Pool $________________ Other (explain) _______________________
If the proposed use is for commercial or industrial purposes, attach a detailed description of the nature of the business or industry. It is the property owner’s responsibility to obtain a permit from the Ohio Department of Commerce for a change in use or new construction. Contact the Ohio Department of Commerce at 614-644-2622.
- Percentage of lot to be occupied:
- Lot: Width Depth Lot Area
- Square feet of Construction Area: Residence
Garage Basement Accessory Building
Commercial Bldg Industrial Deck
- Building Heights: Stories Feet
10.Yard Dimensions: Front Rear
One side Sum of side yards
- Accessory building dimensions: Height Side of dimensions
12.Number of off-street parking spaces to be provided:
13.Number of off-street loading berths to be provided:
- On a separate sheet attach a sketch of proposed structure showing dimensions and location of structure on lot in relation to other buildings/structures. Include other supplemental requirements or conditions that will be met, or explain any points you feel need clarification.
NOTE: This permit shall be void if work is not started within one (1) year, or completed within 2 ½ years.
I hereby acknowledge that the information which I have provided on this application will be used to determine whether a zoning permit will be issued. I further acknowledge that this permit, if issued, will authorize only the specific use which I have stated in this application.
Owner’s Signature: ______________________________
FOR OFFICIAL USE ONLY
Date Received: Fee Paid: $
Date of Action on Application: Approved:
Denied: Reason for denial: