COUNTY OF NEWBERRY

Planning and Development Services

STRUCTURE/ACCESSORY/OTHER/ZONING PERMIT APPLICATION

1226 College Street, Newberry, SC  29108

Telephone:  (803) 321-2166

For Inspections Call:  (803) 321-2662

 

Date:  _______________        Fee:  ________________        Permit Number:  ___________________

 

THIS IS NOT A BUILDING PERMIT

 

     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).

 

 

Property Owner(s) Name:  __________________________________________________________________________

Current Living Address:  __________________________________________________________________________

City:  ________________________________       State:  ___________           Zip:  _________________

Daytime Telephone #:  ______________________________

 

 

Property Street Address:  __________________________________________________________________________

City  ________________________________        State:  _________                Zip:  _________________

 

Please describe construction or use: __________________________________________________________________

 

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 # 36-_______________

 

                                                                Zoning Administrator

Approval _____  Disapproval _____   Signature  ______________________________________

 

Comments:  _______________________________________________________________________________________

__________________________________________________________________________________________________

 

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                                                                 Flood Compliance Administrator

Approval _____ Disapproval _____     Signature:  _____________________________________

 

Comments:  ______________________________________________________________________________________

_________________________________________________________________________________________________