APPLICATION DOES NOT CONSTITUTE A FENCE PERMIT

1 Rev 03-20 Shawnee County Planning Department 1515 NW Saline Street Suite 102 Topeka, KS 66618 (785) 251-5410 FENCE PERMIT APPLICATION APPLICATION does NOT CONSTITUTE A FENCE PERMIT For Administrative Use Only Township: Fire Dist: PERMIT No.: PERMIT Type: FNC Zoning: Date Filed: Fee Amount: Check # Cash Plt.

2 Amt.: Site Plan: Y N Historic Site: Y N Bldg in Floodplain: Y N Real Estate Taxes Paid: Y COMPLETE THE FOLLOWING INFORMATION AND PROVIDE SITE PLAN APPLICANT INFORMATION: Email Building PERMIT Pick Up Building PERMIT Owner Name: Phone: Address: City: Zip: Email Address: Contractor Name: Phone: Address: City: Zip: Email Address: NEW FENCE INFORMATION: Property Address: City: Zip: Subdivision: Block: Lot: New Construction Extension Replacement Reconstruction If Replacement or Reconstruction: Length of existing FENCE .

3 Length of FENCE being replaced/reconstructed: Type of FENCE : Completed Value: $ Total Length: Posts Secured By: Depth of Posts: Height of FENCE (Feet): Front Yard: Side Yard: Rear Yard: Estimated Completion Date: The fee is non-refundable and/or transferable. Please make check payable to Shawnee County Treasurer. By signing this APPLICATION , you are certifying that the information provided is complete, true and accurate to the best of your knowledge. You acknowledge that any information found to be inaccurate or misleading, intentional or otherwise, will not only delay the processing of the APPLICATION , but could lead to its denial.

4 If the same is found to be true following issuance of a FENCE PERMIT , it could lead to the PERMIT being revoked. In addition, you also recognize by signing this APPLICATION that failure to submit all required items will result in delay and that the APPLICATION will not be processed until all required items have been submitted. Owner or Contractor Signature: _____ Date: _____ COMPLETED BY PUBLIC WORKS Reviewed by: _____ Approved Denied Date: _____ BP#_____