Permit application for City of Wyoming, Iowa
Applicant/Owner_____________________________________________ Date:_____________
I hereby request to __ build __ alter buildings or structures on the following described
(Legal description available at Jones Co. Courthouse)
Block and Lot of Tract Area_______________________________________________
Lot square footage ____________
Phone number _______________ Address: __________________________________
Use: __ Residential __ Commercial __ Other Estimated Value ____________
Foundation: __ Concrete __ Block __ Other __ No Basement __ Basement
If Flood Zone A attach DNR Floodplain Permit Flood Zone __________
Zoning _______ Building Sq. footage___________ Height______ No. of stories ______
Front Yard Footage__________ Side Yard Footage_________ Rear Yard Footage_____
Principal Use____________________________________________________________
Other Information or Remarks_______________________________________________
Sketch the front or street side, show street, location of the sewer and water lines. Show any existing buildings and proposed building to be erected. Put in all dimensions, lot size, new building size and distance of all buildings from the lot lines. This does not need to be drawn to scale. Give an accurate estimate of the cost and save having the application returned.
I certify that the above and attached information is true and accurate and that the construction and use will comply with the zoning ordinance in all respects.
Signed________________________________________________________________
(applicant)
__________________________________ _______________________________________
Zoning Officer Council Member (s)
Fee: _________ Date Paid __________ ______________________________________
VOID ONE YEAR AFTER ISSUANCE - PENALTY OF $100 PER DAY WILL BE ASSESSED IF PERMITS ARE NOT APPROVED PRIOR TO START OF CONSTRUCTION
FEES MUST BE PAID AT TIME OF APPLICATION - Water Permit Sewer Permit
THE CITY DOES NOT DETERMINE PROPERTY LINES