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Village of Elsah

P. O. Box 28
Elsah, Illinois 62028
(618) 374-1568

APPLICATION FOR A CERTIFICATE OF COMPLIANCE SPECIAL USE PERMIT, OR VARIATION FOR USE OF PROPERTY
(Ordinance 181 as amended)
TO: Application for Certificate of Appropriateness


Date of Application: ___________________________________
Name: ___________________________________
Phone Number ___________________________________
Address of applicant: ___________________________________

(Please include P. O. Box number)


1.   Street address of property:

2.   Legal description of property (include block and lot numbers):

3.   Owner of property:

4.   What is the zoning classification of this property?

5.    Proposed use of property (please be detailed and complete):

6.   This application is for (Please check one):

  • Flood Development Permit.
  • A Certificate of Compliance on a Permitted Use.
  • A Special Use Permit (A hearing with fifteen (15) days notices required.  
  • A Variation (A hearing with fifteen (15) days notice is required).

6a.  If applying for a special use, please attach a statement on how your proposal meets the standards set forth in Ordinance 181, Article X, Section 2.

6b. If this is an application for a variation, please attach a statement on how your proposal meets the standards set forth in Ordinance 181, Article XI, Section 2.  

Signature of applicant____________________________________

Your signature on this application signifies that this information is accurate to the best of your ability and that any changes in the construction or alteration described in this application will be brought to the Zoning Board for the appropriate certificate.

Submit one signed application plus 9 copies at least seven (7) days prior to a regularly scheduled Zoning Board Meeting to have it on the agenda of that meeting.  The Zoning Board issues Certificates of Appropriateness.