TOWNSHIP OF MILLCREEK
3608 West 26th Street
Erie, PA 16506-2037
(For Worksheet Use Only)
Application/Permit # ____________________
APPLICATION FOR USE CERTIFICATE
I/We hereby apply for issuance by Millcreek Township of a use certificate confirming that the use of the property as described in this application is a lawful use under the Millcreek Township Zoning Ordinance.
APPLICANT(S): __________________________________________ PHONE NO. ______________________
APPLICANT'S ADDRESS:
_______________________________________________________________________
_______________________________________________________________________
ADDRESS OF PROPERTY FOR
WHICH APPLICATION MADE:
_______________________________________________________________
TOWNSHIP INDEX: _______________ ERIE CO. INDEX: (33) _____________________
ZONING CLASSIFICATION: _________________________________________________________________
USE OF PROPERTY:
________________________________________________________________________
(Must be completed by applicant)
PROPOSED DATE OF COMPLETION/
DATE(S) USE(S) BEGAN:
____________________________________________________________________
BUILDINGS/STRUCTURES AND THEIR USES:
The undersigned certifies that the facts set forth in this application are true and correct to the best of the applicants knowledge, information and belief.
| (Applicant Signature) | (Date) | (Applicant Signature) | (Date) |
PLEASE CALL ZONING OFFICE PRIOR TO OCCUPANCY TO SCHEDULE
WALK-THRU...THANK YOU