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APPLICATION FOR ZONING COMPLIANCE PERMIT CITY OF MIDLAND-BUILDING DEPARTMENT 333 W. ELLSWORTH ST. MIDLAND MI 48640 [PHONE REDACTED] email: [EMAIL REDACTED] 1. PROJECT ADDRESS 2. PROPERTY OWNER PHONE 3. CONTRACTOR PHONE 4. CONTRACTOR ADDRESS 5. EMAIL ADDRESS _ TYPE OF STRUCTURE USE OF STRUCTURE SQUARE FOOTAGE OF STRUCTURE FLOOD PLAIN - YES____ MATERIAL USED FOR RAT WALL MASONRY___ WOOD____ OTHER _ A site plan must be submitted with this application, and must include the following: • The location of the new structure and the location of existing structures on the property • The distance of the new structure to the property lines • The distance of the new structure to the existing structures • The placement of this structure cannot divert surface water to adjacent properties • Changing existing grade with soil or landscaping cannot divert surface water to adjacent properties Deed restrictions may apply to this property. This City of Midland permit does not supersede or void any such restrictions. It is the property owner’s responsibility to properly comply with deed requirements. THIS ZONING COMPLIANCE PERMIT SHALL BECOME NULL AND VOID IF THE WORK FOR WHICH THE PERMIT WAS ISSUED HAS NOT COMMENCED WITHIN 180 DAYS AFTER THE DATE OF THE PERMIT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE INFORMATION SUBMITTED IS ACCURATE TO THE BEST OF MY KNOWLEDGE. I AGREE TO COMPLY WITH ALL APPLICABLE CITY ORDINANCES AND STATE CONSTRUCTION CODES. SIGNATURE OF APPLICANT DATE PRINTED NAME ZONING COMPLIANCE PERMIT FEE: $80.00 Rev 1/1/23 SIGN