Conditional Use Application And Checklist Form - East Goshen Township
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3Conditional Use Application and Checklist
East Goshen Township
To: Township Zoning Officer
Name of Applicant: ________________________________________________
Applicant Address: ________________________________________________
Telephone Number: ____________________ Fax: _______________________
Email Address: ___________________________________________________
Property Address: _________________________________________________
Tax Parcel Number: _____________ Zoning District: ________Acreage: ______
Description of proposed use:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
Conditional Use is provided in Zoning Ordinance Section: __________________
We hereby acknowledge that we have read this application and state that the
above is correct and agree to comply with all provisions of the East Goshen
Township Zoning Ordinance applicable to this project and property.
________________________________________________________________
Signature of Applicant
Date
Attest: _______________________________________________
* Review the formal Planning Commission review procedure on page three.
F:\Data\Shared Data\Website\Forms\Conditional Use App and Checklist rev 102406.doc
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