CERTIFICATE OF ZONING COMPLIANCE
For Agricultural Use Buildings
This portion to be filled out completely by applicant.
The undersigned hereby applies for a Certificate of Zoning Compliance to occupy and use the premises as follows:
1. Legal description of the property to be affected by the activity proposed: ______________________.
2. Proposed use of premises: ___________________________________________________________.
3. I hereby certify that I have the legal authority to file this application, that I have completed and examined this application and know the same to be true and correct. I further certify that all provisions of law and other regulations governing the type of construction and use proposed in this application have been complied with, whether or not specified in this application.
4. A Certificate of Zoning Compliance, once issued, shall remain in effect so long as the use of the land, buildings and structures are used in accordance with said Certificate.
________________________________ _______________________________
Printed name of applicant(s) complete mailing address of applicant(s)
________________________________ _________________ ____________________
Signature of applicant(s) date of application phone # of applicant(s)
Set backs: Structure shall be at least 83 feet from the center line of the nearest adjoining road and shall comply with flood plain regulations.
1. Has building permit been issued, and if so, building and proposed use complies with all conditions of approval? YES NO
2. Inspector’s comments: _________________________________________________________________________________.
3. Certificate of Zoning Compliance issued on _____________________.
4. Inspected on _____________________________________.
___________________________________ Zoning Administrator
Copy of approved Certificate of Zoning Compliance mailed to applicant on ____________________.
Revised 10-16-08