Accessory Dwelling Unit Permit Application
Applicant/Agent Information
Name
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Address
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City/State/Zip
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Phone
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Phone Number with Area Code
Format: (000) 000-0000.
Email
*
example@example.com
Contact Person
*
Owner Information
Name
*
Address
*
City/State/Zip
*
Phone
*
Phone Number with Area Code
Format: (000) 000-0000.
Email
*
example@example.com
Contact Person
*
Proposed Use Information
Present Zoning District
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The property owner will occupy (choose one) as their domicile.
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Principal Dwelling Unit
Accessory Dwelling Unit
Reason for Requesting Accessory Dwelling Unit Permit
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Livable Area of Principal Dwelling Unit (sq. ft.)
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Livable Area of Accessory Dwelling Unit (sq. ft.)
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Property Information
Legal Description (may be attached to this application
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Address of Property
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Site Size
*
Property Real Estate Number
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Present Improvements or Structures (include all dwelling units having a kitchen and bathroom)
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I, the undersigned am the (choose one) of the aforementioned property situated in the unincorporated portion of Johnson County, Kansas. By execution of my signature, I do hereby Officially apply for an Accessory Dwelling Unit Certificate as indicated above.
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Owner
Duly Authorized Agent
Signature
*
If you can’t sign above, please type your name in this box. It will serve as your digital signature.
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Date
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