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Plot Plan For Permit Application
One/Two Family, Modular, Mobile Home or Accessory Use
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| Street # |
(N,S,E,W)
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Street Name |
AV, RD, ST, etc.
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| ( ) Washington ( ) ETJ ( ) Washington Park ( ) Whichard's Beach Road - Chocowinity |
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Property Owner's Name:
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| Tax Parcel # |
Zone:
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Telephone #
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Instructions
On a separate piece of graph paper, draw plot plan as neatly and accurately
as possible, to scale, from survey if possible.
- Draw street(s).
- Draw property lines with dimensions.
- Draw proposed and existing buildings showing any attached porch(es),
deck(s), chimney(s), carport(s), or garage(s), etc..
- Show distances of buildings from property lines or other structures.
- Separate building permit application and plot plan are required for
each building.
Alternatively, you may complete the appropriate prepared
plot plan for your zone.
See List
of Prepared Plot Plans
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All existing and proposed building(s) on lot are shown
on attached diagram(s) with measurements indicated.
Sign here and on attached plot plan diagram(s).
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| Applicant's Signature |
Date: |
| Print Applicant's Name |
| Approved by: |
Date: |
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