Zoning Permit Application Form Please contact the Borough office with any questions. Step 1 of 4 25% 1. Applicant InformationName of Applicant* First Last Email* Applicant's Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Applicant's Phone*Applicant's FaxRelationship between Applicant and Owner* Agreement of Sale Leasing/Lessee Not applicable Please describe relationship between Applicant and Owner 2. Property Owner InformationPlease enter contact information for the Property Owner below, if different than the ApplicantName of Property Owner First Last Owner's Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code (If different from applicant)Owner's Email Owner's PhoneOwner's Fax 3. Property InformationTax Parcel Number* Please enter the tax parcel number for the property.Business Name (If applicable)Property Address* Street Address Address Line 2 City PAAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Portion of Property Covered by Application (If applicable)Proposed Use* Zoning Classification* Residential Industrial Commercial Agricultural Water* Public Private Sewer* Public Private Square Footage: Lot Square Footage: Main Building Square Footage: Outbuildings Setbacks: Front (In feet from center line of road)Setbacks: Side (in feet)Setbacks: Rear Driveway: Length Driveway: Width Estimated cost of construction/alteration 4. Plans & CertificationAPPLICANT CERTIFIES THE ATTACHED FILES ARE ACCURATE AND DRAWN TO SCALE 1. Actual dimension and shape of lot to be built upon 2. Exact size and location of all buildings on the lot, if any, and the location and dimensions of proposed buildings, structures or alterations. 3. Existing and proposed uses, showing number of families, if any, that the building is designed to accommodate. 4. Provisions made for the treatment and disposal of sewage, industrial waste, water supply and storm drainage. 5. A certificate of approval from the Bucks County Board of Health regarding proposed on-site sewage disposal and/or water, if such is proposed. 6. Any other lawful information that may be required by the Zoning Officer. One copy of the plans shall be returned to the applicant by the Zoning Officer after he/she shall have marked the copy approved or disapproved and attested to the same by affixing his/her signature. The second copy shall be similarly marked and shall be retained and filed by the Zoning Officer. The Applicant hereby certifies that the statements and data contained herein and attached are true and complete. Plan File Uploads* Drop files here or Select files Max. file size: 105 MB, Max. files: 10. REQUIRED. All files must be less than 100MB in size. Applicant Signature* First Middle Last By submitting this form, I certify all data herein is true and complete.CAPTCHA