CITY OF PLENTYWOOD APPLICATION FOR MOVING PERMIT Application is made by the undersigned for a permit to move a structure as described below. All of the following information, as well as all accompanying information, is represented to be true and complete and is submitted for the City’s reliance in considering this request. It is understood that permits are issued subject to the condition that any misstatement, expression, or omission of material fact, whether or not known or intended, such as would or might cause a disapproval of this application, or any material change in the specifications or structure made subsequent to the issuance of the permit, without the approval of the Council, constitutes sufficient ground for the revocation of such permit. Moving Application No. Date Fee $10.00 Paid Owner(s) Mailing Address Proposed Location of Structure Zoning: R-1 R-2 M.H. C-1 C-2 L.I. TYPE OF BUILDING TO BE MOVED House IRC Modular House Garage Shed Other HUD Manufactured Home or Mobile Home Year IRC or HUD Documentation Attached USE – CONSTRUCTION TYPE – DESIGN Principal Use Occupant(s) Photographs Attached Building Size: Width Length Building Height Ft. Accessory Building Sidewall Height Ft. TYPE: Siding Roofing Frame Foundation Before moving any building into the City of Plentywood, the building may be inspected. SIGNATURE OF OWNER(S): Approved Denied Mayor Date Revised 2/21/2012 |