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Application for a Certificate of Occupancy

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THE UNDERSIGNED HEREBY MAKES APPLICATION FOR CERTIFICATE OF OCCUPANCY FOR THE FOLLOWING DESCRIBED PREMISES, LOCATED AT:
1. Residential
2. Business
3. Home Occupation*
4. Other
* MUST BE ABLE TO COMPLY WITH ALL HOME OCCUPATION REQUIREMENTS IN SECTION 3.18 OF THE PONTIAC ZONING ORDINANCE, ENTITLED "HOME OCCUPATION"
Zoning District
Fire Dept. inspection required?
1. Yes
2. No
If yes, specify date
Present use of said premises
New use of said premises
Phone Number
Email Address*
*If preferred method of contact
eSign- First Name
eSign- Last Name
Date
Permit Number
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