COUNTY OF NEWBERRY

Planning and Development Services

MANUFACTURED HOME ZONING PERMIT APPLICATION

1226 College Street, Newberry, SC  29108

Telephone:  (803) 321-2166; For Inspections Call:  (803) 321-2662

 

Date:  _______________        Fee:  ________________        Permit Number:  ___________________

 

If this application is completed on behalf of the property owner(s), all owners must sign.

This application shall be accompanied by plans in duplicate drawn to scale showing the

Actual dimensions and shape of the lot to be used, the sizes and locations of existing

Structures on the lot, the location and dimensions of the proposed structure or

alteration.  (Section 1101c).  Permit Expires Six (6) Months from Date of Issue. (Section 1101d).

 

YEAR:  ______________   MAKE:  ________________     MODEL# _____________   VIN # _________________

 

Property Owner(s) Name:  __________________________________________________________________________

Current Living Address:  __________________________________________________________________________

City:  ________________________________       State:  ___________           Zip:  _________________

 

Daytime Telephone #:  ______________________________

 

 

Property Street Address:  __________________________________________________________________________

City  ________________________________        State:  _________                Zip:  _________________

 

SIGNATURE(S):  _________________________________________________________

 

 

AGENT:  I hereby certify that I am the designated agent of the property owner to request a Manufactured

Home Zoning Permit.

Name(s):  _________________________________________________________________________________________

Address:  __________________________________ City _______________________ State _____ Zip ______________

Daytime Telephone #:  ________________________________________

SIGNATURE(S):  _____________________________________________________________

 

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FOR OFFICIAL USE ONLY

 

Zoning District  _____________       TMS #  __________  Area ________ acres    Subdivision ____________________

 

Flood Zone:  ___A ___X ___N/A        FIRM # 450224-______________               911 Grid # ____________________

 

DHEC Permit # 36-_________________

 

Zoning Administrator

Approval _____  Disapproval _____   Signature  ______________________________________

 

Comments:  _______________________________________________________________________________________

__________________________________________________________________________________________________

 

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Flood Compliance Administrator

Approval _____ Disapproval _____     Signature:  _____________________________________

 

Comments:  ______________________________________________________________________________________

_________________________________________________________________________________________________

 

See Reverse Side

HOME IS NOT TO BE OCCUPIED BY ANYONE PRIOR TO FINAL INSPECTION