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White County Building & Planning
Improvement Location Permit Application
(Revised 02/13/19)

Parcel Number

Owner Name

ILP-Current Property use

Owner's Name and Mailing Address

Owner Name

Mailing Address

911 Address

City, State Zip

Phone

Applicant Name

Contact #

Email

Estimated Value of Project $

Estimated Damage

Empty Lot:

Replacement

Damage Description

District

Located in Flood Plain

Community Panel#

DNR EFARA#:

Structure Details

Minimum Setbacks

Side

Front

Rear

Max Height

Applicant must provide (if applicable):

Agriculture Sheet

Yes No

Site Plan

Yes No

Property Record Card

Yes No

Other (as requested)

Yes No

All ILP's must call for a final inspection to ensure compliance with the White County Zoning Ordinance and receive an official Certificate of Compliance.

I understand that failure to meet the requirements or deviations from what I have submitted as part of my application may be subject to a civil zoning violation investigation. I understand that a civil zoning violation may result in fines according to CH 13 of the White County Zoning Ordinance.

I acknowledge receipt of this information (may be signed by Owner, Builder, or Agent).

Print Name

Signature

Click here to sign

Date (mm-dd-yyyy)

Note: Improvements location permits for parking lot restriping are allowed a total of (2) renewals, at no charge, within a period of 3 years from the date of issuance of the original permit. This renewal applies to a current Improvement Location Permit for a parking lot where the extent of the new work is restricted to restriping only (regardless of the improvements covered by the original permit).

NOTES: 1) All listed setbacks are to PROPERTY LINE or ROAD RIGHT OF WAY, whichever is more restrictive. 2) Setbacks are measured from the foundation to the property line or right-of-way, whichever is most restrictive, when the eave is 16" or less. For eaves greater than 16", setbacks are measured from the edge of the eave to the property line or right-of-way line, whichever is most restrictive. 3) Vacation Homes/Rentals as per CH 14 of the White County Zoning Ordinance are not permitted outside of the AED Zoning District without an approved Special Exception Use in designated zoning district.

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