Construction Permit
Attach this construction permit to the associated ordinance, resolution, statute, or
government project.
Name of governing body requesting construction:
Date
Construction Site – City, County:
Lot Number:
Purpose of construction: (mark one box below)
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Time
Statute, resolution or ordinance which
authorizes the construction:
state department project
county government project
city government project
general economic development
other - please identify ____________________
Type of construction: (mark one box below)
Buildings
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school
college
hospital
factory w/o equipment
factory w/ equipment
office building w/o equipment
retail store w/o equipment
museum
library
municipal rec. facility
public convention hall 
municipal sewage plant
hazardous waste facility
refinery
police station
fire station
combined police/fire station
airport
At the County Computer:
Streets and Road Improvements
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gravel/unimproved road
two lane, paved road
three lane road
four lane road
bridge
toll booth
street light
Other
 please identify:
At the Banking Center:
 Print a zoning report for the construction site lot.
 Issue a check for appropriate building costs. 
 Staple the zoning report to this form.
 Staple the check receipt to this Construction
 If lot is currently zoned for use by the requesting government, no
Permit.
payment or rezoning process is required.
 Have Banking Center Counselor stamp:
OR If lot is not zoned for use by the requesting government, an
Eminent Domain Form must be completed and stapled to the
Construction Permit.
Banking Center Use Only:
Banking Center Stamp:
 Identify cost of building construction $_______________
 Stamp to the right only after production of a lot zoning report
showing the proposed construction site is zoned for use by the
requesting government and all construction costs have been paid.
This form is not valid until stamped
by the Banking Center.