APPLICATION FOR ZONING/LAND USE PERMIT FRANKLIN TOWNSHIP, ADAMS COUNTY, PENNSYLVANIA

IMPORTANT - Applicant instructions: For all applications complete and or mark part 1. Part 2 is for department use only.

PART # 1   TO BE COMPLETED BY APPLICANT

1A) Application date _____________                   1B) is the owner applicant - ( ) Yes ( ) No

2) Applicant Information,

            First name ____________________ Last name or Business name ____________________________

            Street Address___________________________________________

            City ________________________    State_______________ Zip ____________________

            Phone number (____) _______________________________

 

3) Property Information.

            First name ____________________ Last name or Business name ____________________________

            Street Address___________________________________________

            City ________________________    State_______________ Zip ____________________

            Phone number (____) _______________________________

 

4) Owner Information,        

            First name____________________ Last name or Business name_____________________________

Street Address___________________________________________

            City ________________________    State_______________ Zip ____________________

            Phone number (____) _________________________________

 

 

5) State all existing uses of the property____________________________________________________

_____________________________________________________________________________________

 

 

6) State the proposed new uses or changes for property_______________________________________

_____________________________________________________________________________________

 

7)Attach a copy of the plan for proposed use drawn to scale, showing (A) actual dimensions, (B) shape and dimensions of lot (C) exact dimensions and location of all existing buildings on lot (D) the location and dimensions of all (new)proposed building (s).All dimension must be included. Include the location of any well and septic system. See attached example for reference on how to do plot plan.  (See example)

 

8) Cost of project $_________________________.  (  ) estimated or (  ) actual


 

9) Nature of proposed                                            Description                           Dimensions

( ) Erect a new structure (s) ______________________________________________________________

( ) Replace a Structure(s) ________________________________________________________________

( ) Add to a structure(s) _________________________________________________________________

( ) Erect/Replace a sign __________________________________________________________________

( ) Change of land use (s) ________________________________________________________________

( ) Home occupation ____________________________________________________________________

( ) Other (describe proposed use(s) ________________________________________________________

 

10) Height of proposed building to peak ______________________________________

 

11) Is existing septic system in good condition ( ) Yes   ( ) No   ( ) Not applicable

 

12) Has a permit for an on lot septic system been obtained ( ) Yes ( ) No ( ) Not applicable

If yes date permit issued ________ and Permit # ____________________                                               

Note: If septic system does not exist nor septic permit has not been issued, no zoning permit will be issued until proof of compliance with DEP regulations for on lot septic disposal is submitted.

 

13) Road encroachment permit ( ) Municipal ( ) State ( ) Private Permit issued ( ) yes ( ) No

               ( ) Not applicable

Applicants are advised that a highway permit is required prior to drive access to highway.

 

14) Stake four corners of new structure location on lot. This should be completed at the time application is submitted for approval. Failure to do this will delay issuing of zoning permit.

 

 

In signing this application for a Franklin Township zoning permit, applicant verifies that all information contained within this application is true, correct, and complete to the best of applicant’s knowledge. Furthermore, applicant affirms that the information stated herein is in compliance with all Franklin Township ordinances and regulations. The township has the right to revoke this zoning permit should any violation(s) of said ordinance occur or any modification of contained information be made. Falsification or any information related to this application could result in prosecution. Franklin Township assumes no reasonability for, and is not liable for, any injuries, damages, legal actions, disputes, or unforeseen development or occurrences to person(s) or property which might result from them issuance of this remit.

 

  Signature of Applicant or Owner ________________________________________Date____________

 

1A) ENCLOSE ZONING APPLICATION FEE OF $25.00 PAYABLE TO FRANKLIN TOWNSHIP

 

2A) RETURN APPLICATION FEE AND ALL SUPPORTING DOCUMENTS TO FRANKLIN TOWNSHIP OR MAIL TO:

 

            Land And Sea Services LLC,

            1837 Heidlersburg Road

            Aspers, Pa.  17324

           

 

PART #2 TO BE COMPLETED BY TOWNSHIP ZONING OFFICER

 

The following shall be the min. requirements for the proposed project(s) as set forth in the Franklin Township Zoning Ordinance.

Plot plan submitted, ( ) Yes ( ) No ( ) not required

Zoning district __________________________ Parcel # _________________________________

Setback information

            Required        Proposed, structure  A                    Structure B

            _______Front_____________                                   _______________Feet from right-of-way

            _______Rear _____________                                   _______________ Feet

            _______Side______________                                   _______________Feet

            _______  or  ______________ feet on one side with a combined total of feet for both sides

Minimum Loading Space___________                 Loading Space Provided_____________

Maximum Sign area ______________                    Proposed Sign Area ________________

Maximum Lot Coverage ___________                 Proposed Lot Coverage _____________

 

Remarks _____________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Fee $______________                      Date Paid___________________

Cash $_____________                      Check # ____________________

 

CERTIFICATION

The proposal ( ) does ( ) does not comply with Tyrone Zoning

A variance is required ( ) Yes  ( )No

A special exception is required ( ) Yes ( ) No

A permit for the above described project/use was ( ) granted ( ) refused on this _________________day

of ____________________,20 ____

this permit expires on the _______________day of ___________________, 20____

If applicable, the following conditions were placed on a special exception permit by the Zoning Hearing Board.

            a. ___________________________________________________________________________

b.____________________________________________________________________________

c.____________________________________________________________________________

d.____________________________________________________________________________

 

 Signature of Zoning Officer________________________________________ Date_________________