APPLICATION NO. __________________________
Thompson Township, Geauga County
undersigned hereby applies for a zoning certificate for the following
described use, said certificate to be
issued by the township zoning inspector on the basis of the information contained within this application.
THIS APPLICATION SHALL BE COMPLETED BY THE APPLICANT.
A: Name of Applicant:____________________________________________________________________
Address of Applicant:__________________________________________________________________
Telephone Number of Applicant:_________________________________________________________
B: Name of Owner of Record:______________________________________________________________
Address of Owner of Record:____________________________________________________________
Telephone Number of Owner of Record:___________________________________________________
C. Address of Property:___________________________________________________________________
D. Proposed Use: (check one)
New Construction Addition Garage Accessory Building
Residence Industrial Commercial Sign, Size
1. Attach Documentation as to authority to make application
(e.g. deed, power of attorney, lease or purchase agreement)
2. Attach a legal description of the property, as recorded with the Geauga County Recorder
3. Attach a site plan or map of lot; drawn to scale, with a north arrow and date showing existing
buildings or structures and proposed construction or use for which this application is made.
Width of lot at front line _______ feet Dimension of Building: Width _________feet
Width of lot at setback line _____feet Depth __________feet
Side yard clearance __________side __________feet __________side __________feet
Rear yard clearance __________feet Front setback line _____________________feet
Depth of lot from front lot line __________feet
Highest point of building above established grade _____________feet
Total acreage of property ______________acres
Number of Stores _____________ Basement ________________________________
Height ___________________feet (Full, Partial or None)
The total amount of square feet of floor space for each floor of
proposed buildings or structure on the property
or of any addition or structural alteration to the existing buildings or structures.
First floor ________________ square feetSecond floor ________________square feet
Off street parking space __________________________ square feet.
I hereby certify that all of the information supplied in this application and attachments hereto are true and correct to the best of my knowledge, information and belief.
I hereby acknowledge that I understand that the penalty for falsification is imprisonment for not more than six (6) months, or a fine of not more than one thousand dollars ($1,000), or both.