CITY OF
APPLICATION FOR:
PERMIT TO MOVE A
BUILDING
DATE:_________________________
NAME OF APPLICANT:__________________________________________________________
ADDRESS OF APPLICANT:_______________________________________________________
PHONE NUMBER OF APPLICANT:________________________________________________
PRESENT LOCATION OF BUILDING
TO BE MOVED:________________________________
________________________________________________________________________________
DESCRIPTION OF BUILDING:_____________________________________________________
LOCATION OF SITE TO WHICH
BUILDING IS TO BE MOVED:________________________
________________________________________________________________________________
DATE OF MOVING BUILDING:____________________________________________________
HAVE ALL
UTILITY COMPANIES BEEN NOTIFIED? YES_____
NO_____
PERFORMANCE BOND OF $10,000
FOR DAMAGES TO PUBLIC PROPERTY HAS BEEN
SECURED: YES______ NO_______
____________________________________________
Signature of Applicant