HomeMy WebLinkAboutTemporary user permit
TEMPORARY USE
PERMIT APPLICATION
Application Date:
• S i t e A d d r e s s :
• Type of temporary use proposed:
• Duration of use: from (date) to (date)
• Dimensions of structure (if applicable):
• A p p l i c a n t :
A d d r e s s :
City: State: Zip:
Work Phone: Home Phone:
• Property Owner:
A d d r e s s :
City: State: Zip:
Work Phone: Home Phone:
• Contact Person: Phone:
Attachments:
Site Plan
Building elevations (if applicable)
Additional permits (i.e. electrical, sound, or sign) may be required as part of this application for a
temporary use permit. Please consult with City staff.
• Zone (to be completed by City staff):
hisinsp\tempapl.doc
410 E. Washington Street
Iowa City, IA 52240
(319) 356-5120
FAX (319) 356-5009