TOWN OF SEABROOK ISLAND
ZONING PERMIT APPLICATION
Phone 768-9121
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	Fee Schedule
Permit for construction of New  House	$100.00
All others vary. Please call Town Hall @768-9121

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If permit is for construction please indicate purpose by checking one of the following:	Charleston Superior Code House
	HOUSE
If application is not for the purpose of construction please check other	Other

Date _________ TMS No:_____ _____ _____ _____

APPLICANT NAME:__________________________________________PHONE:________________
PLACE NAME LISTED IN TOWN'S BUSINESS LICENSE IF APPLICANT IS A BUSINESS


NAME OF BUSINESS CONTACT:___________________________________________

ADDRESS:_______________________________________________________________

CITY:___________________________________STATE:____ ZIP CODE:___________


PROPERTY OWNERS NAME:__________________________________ PHONE:________________

OWNERS MAILING ADDRESS:_______________________________________________

CITY:__________________________________ STATE:____ ZIP CODE:___________


PROPERTY LOCATION:
STREET ADDRESS_____________________________ LOT_____ Block_____

PURPOSE OF PERMIT:__________________________________________________

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TOTAL VALUE OF CONSTRUCTION:	_____________	BASE FLOOD ELEVATION:______ ZONE:_____
CONSTRUCTION COST:	_____________	DATE OF SIPOA APPROVAL:__________________
APPLICANTS SIGNATURE:	_____________	DATE: _______________

THIS IS AN APPLICATION ONLY:
PERMIT WILL BE ISSUED UPON APPROVAL BY THE TOWN OF SEABROOK ISLAND
Nov. 3, 2006