HARRISON COUNTY PLAN COMMISSION
IMPROVEMENT LOCATION PERMIT APPLICATION
OWNERS
NAME _________________________________________PHONE___________________________
ADDRESS____________________________________________Name
of person living on property_______________
DIRECTIONS
TO PROPERTY________________________________________________________________
____________________________________________________________________________________________
PARCEL ID TOWNSHIP_______________SECTION_________TWP_____RANGE____PARCEL________
CURRENT
USE OF SITE______________________ REASON FOR PERMIT_______________________
TYPE
OF EXTERIOR _________________________ NUMBER OF BEDROOMS____________________
BUILDING
SIZE______________________________ COST/APPRAISED VALUE ___________________
BASEMENT(circle)
YES /
NO - FINISHED / UNFINISHED
General
contractor___________________ Electrician________________
Plumber___________________
PERMIT
CHECKLIST- each item must be completed.(electric permits are exempt)
_____copy
of septic tank permit attached.(required for new homes or bedrooms) #__________
_____copy
of recorded contract or deed attached.
_____copy
of driveway permit attached.(not required for additions)
_____copy
of site plan.(see reverse side)
_____copy
of building plans attached(foundation plan for new manufactured homes) MH
date____________.
_____copy
of town permit if location is within 2 miles of a town that has
zoning.#___________
Has
a variance or special exception ever been applied for or approved for this
property___yes____no. If yes please
describe____________________________________________
I
agree that, if granted a permit for the above described building at the
location designated in the County of Harrison, I will observe and comply with
all laws, ordinances, and regulations affecting the use of the land including
the Zoning Ordinance and all Ordinances amendatory thereof and supplement
thereof now in force in the County of Harrison and consent to inspection of the
premises for which the permit is granted, during and upon completion of
construction authorized.
It
is further agreed that upon a determination that the work performed under this
permit does not comply with the approved site plan, I will take corrective
action, including demolition if necessary, to insure the site improvements
comply with all minimum setback requirements.
__________________________________ ___________________
Signature
of owner or representative date
IF THERE ARE ANY QUESTIONS PLEASE CALL (812) 738-8927 M-F 8-4:30.
FOR
OFFICE USE ONLY
Subject to all conditions stated above by the applicant and any conditions required by the Plan Commission staff (attached), the application for an Improvement Location Permit is hereby approved.
Administrator/planner____________________________Date_________________Fee__________________________
Flood
Plain Yes/No Comments______________________________________________________________________
Construction
plans approved by_______________ setbacks F_____________________S______R_____
Project
address
_____________________________________________________________________________
RECEIPT #___________mth______
PERMIT#________________
SITE
PLAN
THIS SITE PLAN CAN BE
USED OR YOU MAY DRAW YOUR OWN.
ALL EXISTING AND
PROPOSED BUILDINGS, DRIVEWAYS, SEPTIC TANKS/FIELDS, EASEMENTS AND THE DISTANCES
FROM PROPERTY LINES MUST BE SHOWN.
TYPICALLY ALL BUILDINGS MUST BE 50’ FROM ALL RIGHT-OF-WAYS(65’
FROM CENTER OF MOST COUNTY ROADS) AND 25’ FROM THE SIDE AND REAR LOT LINES.