Zoning Clearance Application Providence City Utah 15 South Main ...
Zoning Clearance Application Providence City Utah 15 South Main Street
Application Information
Date: ______________
Permit #: _______________
Owner’s Name: ________________________________ Telephone #: _________________________________ Mailing Address: ____________________________________________________________________________ Email: ____________________________________________________________________________________ Please circle one: Residential or Commercial
Valuation: ___________________________
Structure Type: ____________________ Property Tax ID: ___________________________________________ Property Address: ___________________________________________________________________________ Subdivision: _______________________________ Lot #: __________________ Zone: ____________________ Septic Tank: _________ City Sewer: _________ City Water: _________ Well: ___________ Storm Water Information: Notice of Intent (NOI) No. UTR______________________ Permit issued to: ___________________________ If this construction will occur in an approved subdivision, you may be able to use the NOI permit taken out by the development contractor or the developer. If you have to obtain your own NOI permit, please visit http://www.deq.utah.gov/Permits/water/updes/stormwatercon.htm The fee for the NOI is $150.
Payment Form
Amount Paid $50.00
Date
Receipt #
Clerk Signature
Application Information
Date: ______________
Permit #: _______________
Owner’s Name: ________________________________ Telephone #: _________________________________ Mailing Address: ____________________________________________________________________________ Email: ____________________________________________________________________________________ Please circle one: Residential or Commercial
Valuation: ___________________________
Structure Type: ____________________ Property Tax ID: ___________________________________________ Property Address: ___________________________________________________________________________ Subdivision: _______________________________ Lot #: __________________ Zone: ____________________ Septic Tank: _________ City Sewer: _________ City Water: _________ Well: ___________ Storm Water Information: Notice of Intent (NOI) No. UTR______________________ Permit issued to: ___________________________ If this construction will occur in an approved subdivision, you may be able to use the NOI permit taken out by the development contractor or the developer. If you have to obtain your own NOI permit, please visit http://www.deq.utah.gov/Permits/water/updes/stormwatercon.htm The fee for the NOI is $150.
Payment Form
Amount Paid $50.00
Date
Receipt #
Clerk Signature
