Form 539 "Zoning/Building Permit Application" - Borough of Emmaus, Pennsylvania

What Is Form 539?

This is a legal form that was released by the Zoning Department - Borough of Emmaus, Pennsylvania - a government authority operating within Pennsylvania. The form may be used strictly within Borough of Emmaus. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

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Download a printable version of Form 539 by clicking the link below or browse more documents and templates provided by the Zoning Department - Borough of Emmaus, Pennsylvania.

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Download Form 539 "Zoning/Building Permit Application" - Borough of Emmaus, Pennsylvania

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Borough of Emmaus
Zoning Form 539
Borough of Emmaus
APPLICATION FOR PERMIT
AS REQUIRED BY BOROUGH ZONING ORDINANCE
Application is hereby made for a permit to erect or alter a structure which shall be located as shown on diagram
attached to this sheet and/or to use the premises for the purposes described herewith. It is understood and
agreed by this applicant that any error, misstatement or misrepresentation of material fact, either with or without
intention on the part of this applicant, such as might or would operate to cause a refusal of this application, or any
change in the location, size or use of structure or land made subsequent to the issuance of a permit, without
approval of the Zoning Officer, shall constitute sufficient ground for the revocation of permit.
A. LOCATION, OWNERSHIP AND PRESENT USE OF PROPERTY:
1
Street and Number
2
Deed Owner
3
Owner's Address
4
Present Tenant
Owner's consent for proposed work?
5
Present Use of Structure, Building, or Land
6
Zoning District
as shown on Zoning Map dated 12/4/06
Amended
B. PROPOSED USE OF STRUCTURE AND/OR LAND:
New Structure ___
Addition ___
Land Use ___
Sign ___
Occupancy ___
Accessory Use ___
Change of Use ___ Fence ___
Driveway ___
Other
1
Proposed Use of Structure, Building, or Land
2
Description of Work
3
Plan is attached hereto: Yes ___ No ___
Estimated construction value $
C. REQUEST FOR OCCUPANCY:
1
Desired Use
Former Use, if any
D. APPLICANT:
1
Name of Applicant
2
Address of Applicant
3
Owner, Lessee, or authorized agent for owner of subject property
4
Applicant's Signature
Phone:
E. APPROVAL AND DATES OF ACTION TAKEN:
1
Application approved
Yes ___ No ___
Date
2
Reason for Denial of Application
Zoning Officer
3
Applied to Zoning Hearing Board ___________ 20___ APPEAL: Yes No
Hearing No.
4
Special Exception ___ Variance ___
5
Board's Decision
Granted ___
Denied ___
Date
Order:
F. ISSUANCE OF PERMIT:
FEE $ __________ TYPE ___________________ DATE ISSUED ___________________
No.
OCCUPANCY PERMIT WILL BE REQUIRED UPON COMPLETION OF WORK.
Borough of Emmaus
Zoning Form 539
Borough of Emmaus
APPLICATION FOR PERMIT
AS REQUIRED BY BOROUGH ZONING ORDINANCE
Application is hereby made for a permit to erect or alter a structure which shall be located as shown on diagram
attached to this sheet and/or to use the premises for the purposes described herewith. It is understood and
agreed by this applicant that any error, misstatement or misrepresentation of material fact, either with or without
intention on the part of this applicant, such as might or would operate to cause a refusal of this application, or any
change in the location, size or use of structure or land made subsequent to the issuance of a permit, without
approval of the Zoning Officer, shall constitute sufficient ground for the revocation of permit.
A. LOCATION, OWNERSHIP AND PRESENT USE OF PROPERTY:
1
Street and Number
2
Deed Owner
3
Owner's Address
4
Present Tenant
Owner's consent for proposed work?
5
Present Use of Structure, Building, or Land
6
Zoning District
as shown on Zoning Map dated 12/4/06
Amended
B. PROPOSED USE OF STRUCTURE AND/OR LAND:
New Structure ___
Addition ___
Land Use ___
Sign ___
Occupancy ___
Accessory Use ___
Change of Use ___ Fence ___
Driveway ___
Other
1
Proposed Use of Structure, Building, or Land
2
Description of Work
3
Plan is attached hereto: Yes ___ No ___
Estimated construction value $
C. REQUEST FOR OCCUPANCY:
1
Desired Use
Former Use, if any
D. APPLICANT:
1
Name of Applicant
2
Address of Applicant
3
Owner, Lessee, or authorized agent for owner of subject property
4
Applicant's Signature
Phone:
E. APPROVAL AND DATES OF ACTION TAKEN:
1
Application approved
Yes ___ No ___
Date
2
Reason for Denial of Application
Zoning Officer
3
Applied to Zoning Hearing Board ___________ 20___ APPEAL: Yes No
Hearing No.
4
Special Exception ___ Variance ___
5
Board's Decision
Granted ___
Denied ___
Date
Order:
F. ISSUANCE OF PERMIT:
FEE $ __________ TYPE ___________________ DATE ISSUED ___________________
No.
OCCUPANCY PERMIT WILL BE REQUIRED UPON COMPLETION OF WORK.