Hardin County, IA

Application for Special Permit

1. Application for Special Permit This section is complete This section is incomplete
2. Office Use Only This section is complete This section is incomplete

Owner/Applicant Name*
Telephone Number*
Email*
Street Address*
City*
State*
Zip Code*
Describe the operation or installation:
On the following described parcel:
911 Address (if known)
Parcel PIN
Property is Zoned:*
Size of Parcel (Acres):*
Average Width of Lot:
Dimensions of Structure (Including Height):*
Number of Stories
Setbacks (structure will be placed):
Feet from front right-of-way (direction)
Feet from rear lot line (direction)
Feet from side lot line (direction)
Feet from side lot line (direction)
SKETCH OR DIAGRAM OF PROJECT
Please upload a diagram or sketch that shows the location of:
- Dimensions
- Proposed Buildings
- Yard Lines
In addition to the sketch or diagram, it may be necessary to furnish the Zoning Adminstrator with a complete set of building plans, if requested.
Sketch/Diagram*
Building Plans
Comments
Applicant Electronic Signature*
The undersigned applicant certifies under oath and under penalties of perjury, that the foregoing information is true and correct. I further agree this building does not violate any restrictive covenant of the abstract.
1. Selection indicates agreement of Applicant or Agent for Applicant
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