ELK TOWNSHIP

APPLICATION FOR ANTENNA/RADIO/TELEVISION/COMMUNICATIONS PERMIT

(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 Antenna 200.00

Application 60.00

PA UCC Fee 4.00

E & S Controls Permit (1000+ sq. ft.) 100.00

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

Documents Required

2 Copies each of the following:

1. Plot Plans

2. Elevations

3. Floor

4. Section

5. Septic Permit may be needed if adding bedrooms.

Official Use Only:

Application # Building Permit #

Approved: Date:

Denied: Date:

Reason for Denial: