ELK TOWNSHIP

APPLICATION FOR RE-ROOFING

BUILDING PERMIT

(only if there is structural work involved)

(Please Print)

To alter or erect a structure in accordance with the Zoning Ordinances and all other pertinent ordinances of Elk Township, Chester County, Pennsylvania.

I, , hereby make application for a permit to alter or erect on the

property at (address or location description).

Owner Name: Phone:

Address:

City: Zip:

Tax Parcel #

Permit Fee 50.00

Application Fee 60.00

1% of cost

Total Cost

The total fee will be calculated by the Zoning Officer and may be paid for when permit review is complete. Please make the check payable to: Elk Township

Official Use Only:

Application # Building Permit #

Approved: Date:

Denied: Date:

Reason for Denial: