Submitted Payment Requested Payment Received Approved Approved with Conditions On Hold Denied

Yes, the use is specifically listed and meets the ordinance definition No, the use is not specifically permitted The use is an accessory use, a conditionally permitted use, or a legally existing non-conforming use

Yes No

Yes No

Yes No

Yes No

Yes No

Last Name

Organization Name

-Must conform to §185-174
https://southorange.municipalcodeonline.com/book?type=ordinances#name=185-174_General_Provisions

Certification

Required Attachments

Email

Number of Rooms & Offices Contained in Premises

Name of Business

Phone #

Click on the link below to view the Village Chart
https://southorange.municipalcodeonline.com/book?type=ordinances#name=185_Attachment_2-_District_Use_Regulations

Is the use specifically listed as a permitted use in the Village Chart? *

If YES, when will Sign Permit Application be submitted (Within 60 Days)

City, State, ZIP

First Name

Building Owner Details

Size of Space to be Occupied

The fee for this application fee is:

Occupancy Use Details

Nature of Present Use or if Vacant

# of Parking spaces for Employees

Full Name

Applicant Details

Email

Application Fee

# of Parking spaces to be Designated on Site

I am aware that there may be subsequent zoning approvals required as discussed in Village Code - Chapter 185
https://southorange.municipalcodeonline.com/book?type=ordinances#name=Ch_185_Land_Development

Approx. Size of Entire Building

Lot

Address

Address 2

Address 2

ZIP

Is Landlord the Building Owner?

Signature

Number of Employees that will Occupy the Premises

Landlord Details

Type of Business and Brief Description of Operations

Block

NOTE: UPON APPROVAL, APPLICANT MUST APPLY FOR OCCUPANCY & BUILDING PERMITS FROM THE BUILDING DEPT.

By signing below, I the owner certify that all of the information provided in this application is true and accurate.

Total # of Parking spaces on Site

# of Parking spaces for Visitors

Full Name

Use Permit

Email Address

Phone #

Address

State

Qualifier

Address

ZIP

Phone #

Please attach a copy of the proposed lease or letter of intent.

Please note: The lease/letter must be signed BY THE OWNER/LANDLORD of the property and not the applicant.

Applicant should not sign lease or letter until use permit is approved.

Date Applicant Intends to Occupy

I am aware that a Commercial Sign is required to be installed within 60 days of business opening, following proper building/permit submissions

City

Will Cooking be done on Premises?

# of Parking spaces Provided in Lease

Address

Business Details

Will any Signs be Required by Applicant? *

City, State, ZIP

Nature of Proposed Alterations Intended, if any, be specific:

City

State