APPENDIX A:  MOVING PERMIT APPLICATION FORM
TOWN OF MOUNT PLEASANT - MOVING PERMIT APPLICATION
 
OWNER
 
 
        MAILING ADDRESS
PHONE NUMBER
PREVIOUS OWNER
 
 
MAILING ADDRESS
PHONE NUMBER
MOVING COMPANY
 
 
MAILING ADDRESS
PHONE NUMBER
 
 
MOVING COMPANY STATE PERMIT NO.
 
 
PRESENT ADDRESS OF BUILDING TO BE MOVED
 
 
 
 
LOT NO.
 
 
BLOCK NO.
SECTION
TAX MAP NO.
FLOOD ZONE
ZONING DISTRICT
PROPOSED LOCATION BUILDING IS TO BE MOVED TO IF WITHIN CITY LIMITS  (PLEASE NOTE IF TO BE RELOCATED OUTSIDE CITY)
 
 
 
 
 
 
 
 
LOT NO.
 
 
BLOCK NO.
SECTION
TAX MAP NO.
FLOOD ZONE
ZONING DISTRICT
BUILDING USE
ORIGINAL COST OF BUILDING
CURRENT APPRAISED VALUE OF BUILDING
 
 
EXTREME DIMENSIONS
 
 
EXACT LENGTH
EXACT HEIGHT
EXACT WIDTH
 
 
APPROXIMATE MOVING DATE
APPROXIMATE MOVING TIME
DESCRIBE THE EXACT ROUTE TO BE TAKEN (USE BACK IF NECESSARY)
 
 
 
 
 
 
 
 
LIST ALTERATIONS AND REPAIRS REQUIRED TO BRING THE BUILDING INTO COMPLIANCE WITH ALL BUILDING CODES
(USE BACK IF NECESSARY)
 
 
 
 
 
 
ATTACHMENTS (IF RELOCATED IN THE CITY)
_______ RECENT (WITHIN 6 MOS. OF APPLICATION) REGISTERED AND SEALED ENGINEER'S SITE PLAN ESTABLISHING:  (1) LOCATION;
                  (2) FRONT, REAR AND SIDE YARD SETBACKS; AND (3) FIRST FLOOR ELEVATIONS REFERENCED TO THE NGVD 1929 DATUM
_______ PHOTOGRAPHS OF ALL ELEVATIONS
_______ BUILDING PLANS (to bring structure up to present building code, including foundation)
_______ INSURANCE DOCUMENTATION (as required in Sections 75.03, 75.04 and 75.05)
APPROVAL FROM POLICE DEPARTMENT
 
 
          _______ APPROVED
 
 
          _______ NOT APPROVED
 
 
 
__________________________________________________
SIGNATURE