Town of Mount Olive
114 E. James Street
P O Box 939
Mount Olive, NC 28365
919-658-9538
FAX – 919-658-5257
Residential Zoning Compliance Permit Application
(Town Code Section 155.166)
Date: ____/____/20____
Property
Applicant: ________________________________ Owner: _______________________
Mailing Address: ________________________________ Telephone: ______________
City: ______________ State: ______ ZIP: _______ Parcel #: _________________
Property Location: ________________________________________________________
(Street Address)
Zoning District:________________ Erosion Control Material Installed: 0YES 0 NO
Driveway Drainage Pipe to Be Installed 0YES 0NO -- Flood Hazard Area: 0YES 0NO
Water Source: 0Well 0Public or Community System
Sewage Treatment: 0 Septic Tank 0 Public or Community Sewer System
Proposed Use of Structure: __________________________________________________
______________________________________ Height of Structure: ___________________
Describe Current Buildings On Property:__________________________________________
CERTIFICATION:
I certify that I am authorized to make this application, that the information provided is correct to the best of my
knowledge, and that I am authorized to grant, and do grant, permission to the local zoning official and local building
official to enter on the property described above for the purpose of inspections. I understand that if this application
is approved, that failure to meet any conditions of the approval shall result in the revocation of any permit(s) based
upon this certificate. I understand that upon completion of any construction, I am responsible for scheduling a final
inspection with the zoning administrator. Failure to do so could result in fines and/or revocation of this zoning
compliance permit should it be approved.
____________________________________ __________________
Applicant Date
After consideration and review of the zoning compliance permit application, I have determined that the applicant is in
compliance with all Town ordinances, which relate to structures erected or situated within the Town.
____________________________________ __________________
Zoning Official Date
114 E. James Street
P O Box 939
Mount Olive, NC 28365
919-658-9538
FAX – 919-658-5257
Residential Zoning Compliance Permit Application
(Town Code Section 155.166)
Date: ____/____/20____
Property
Applicant: ________________________________ Owner: _______________________
Mailing Address: ________________________________ Telephone: ______________
City: ______________ State: ______ ZIP: _______ Parcel #: _________________
Property Location: ________________________________________________________
(Street Address)
Zoning District:________________ Erosion Control Material Installed: 0YES 0 NO
Driveway Drainage Pipe to Be Installed 0YES 0NO -- Flood Hazard Area: 0YES 0NO
Water Source: 0Well 0Public or Community System
Sewage Treatment: 0 Septic Tank 0 Public or Community Sewer System
Proposed Use of Structure: __________________________________________________
______________________________________ Height of Structure: ___________________
Describe Current Buildings On Property:__________________________________________
CERTIFICATION:
I certify that I am authorized to make this application, that the information provided is correct to the best of my
knowledge, and that I am authorized to grant, and do grant, permission to the local zoning official and local building
official to enter on the property described above for the purpose of inspections. I understand that if this application
is approved, that failure to meet any conditions of the approval shall result in the revocation of any permit(s) based
upon this certificate. I understand that upon completion of any construction, I am responsible for scheduling a final
inspection with the zoning administrator. Failure to do so could result in fines and/or revocation of this zoning
compliance permit should it be approved.
____________________________________ __________________
Applicant Date
After consideration and review of the zoning compliance permit application, I have determined that the applicant is in
compliance with all Town ordinances, which relate to structures erected or situated within the Town.
____________________________________ __________________
Zoning Official Date
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