APPENDIX A: APPLICATION FOR ZONING PERMIT
 
Editor's Note: Appendix A through Appendix H are available in PDF, click HERE
FEE $                                           
1.   Applicant's Name                                                                                                              
Address                                                                                                                             
   Phone #                                                                                                                             
2.   Property Owner                                                                                                                 
Address                                                                                                                             
Phone #                                                                                                                              
3.   Location of property                                                                                                          
4.   Zoning District                                                                                                                  
5.   Applicant hereby applies for a zoning permit for the following use:
                      One-family dwelling unit                                Two-family dwelling unit
                     Multi-family dwelling unit – number of units                                                 
                     Accessory building (Describe)                                                                       
                                                                                                                                        
                                                                                                                                        
             Other residential use                 Business                     Industrial                     Other
Describe                                                                                                                           
                                                                                                                                       
6.   Parcel Description
Frontage                        Depth                             Area                             X                          
7.   Building Description
Width                                                                Depth                                                 
Number of stories                                             Height                                                
8.   Setbacks
Left side                                                            Right side                                          
Front                                                                 Rear                                                   
Width at setback                                        
9.   Site Plan
An accurate diagram/blueprint must be attached showing the location of the building to be constructed, all existing buildings on the property with their dimensions, boundaries and division of property abutting streets and properties, and any greenbelt requirement landscaping.
10.   Sewer System
Public or EPA approved                                          Private                                               
11.   Paid
Cash                                                       Check                                                          
Date                                                       Receipt No.                                                   
Unless construction begins within six (6) months from date of issuance or is completed within eighteen (18) months, the Zoning Permit will be revoked.
NOTICE:
Applicant acknowledges that construction or use of this land is authorized only in accordance with the representations on this application and accompanying site plan and must conform with all provisions of the Bellville Zoning Ordinance. Separate permits may be needed from Richland County Codes and Permits Department, Richland County Health Department and the Village of Bellville Water Department.
Approval by the Zoning Inspector of this document shall constitute a zoning permit.
Date                                                        Applicant's Signature                                    
Based upon the information contained in this application and the accompanying site plan, a zoning certificate is:
Approved                                     Denied                              
Reason for denial                                                                                                               
                                                                                                                                        
                                                           
                                                                                                                                       
                                                                                                                                       
Date                                                      Zoning Inspector