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2. Department of Zoning

   Application is hereby made for a zoning certificate, and the statements herein are made a part thereof.  It is understood and agreed by the applicant that any error, misstatement or misrepresentation of fact or expression of fact, either with or without intention on the part of the applicant, such as might or would operate to cause the issuance of a permit in accordance with this application, shall constitute sufficient ground for the revocation of such permit at any time.  For all returned checks, a $20 penalty charge will be levied on all applicants.    Please submit name and address of record title owner and a notarized statement authorizing use of land for sales activity and a plot plan indicating display area.  The elimination of parking spaces is not permitted.  

4. Location
6. Name of Business or Public Organization
8. Address of Business or Public Organization
10. Email Address
12. Type of Activity

    1. Event $30.00 each
    2. Food Truck $30.00 each
    3. Tent $30.00 each
13. Dates of Event
15. Tent Size

    Fire Review required for all tents greater than 400 sq. ft.

17. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
19. Electronic Signature
20. Date
    Date
22. APPLICANT MUST SUBMIT SITE PLAN INDICATING LOCATION OF BOOTHS, DISPLAYS, RIDES, OR TENTS
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field