County Zoning Permit Application

Applicant Information

Applicant Name(Required)

First Last

Applicant Address(Required)

Street Address Address Line 2 City State ZIP Code

Applicant Phone(Required)

Applicant Email(Required)

Is the Property Owner information the same as the Applicant?(Required)

Yes

Property Owner Name(Required)

First Last

Property Owner Address(Required)

Street Address Address Line 2 City State ZIP Code

Property Owner Phone(Required)

Property Owner Email(Required)

Property Information

Property Address(Required)

Street Address Address Line 2 City State ZIP Code

Subdivision Name/Lot # (if applicable)

If street address has not been assigned, identify the property’s location along the roadway and distance to intersecting public roadways on each side of parcel.

Jurisdiction(Required)

City of Bedford

Trimble County

Existing Zoning(Required)

Structure Type Information

Structure Type Information(Required)

Garage

Single Family Dwelling

Two Family Structure

Type I Manufactured Home (new from manufacturer)

Type II Manufactured Home (used/pre-owned)

Type III (used/non SFD use)

Addition to Principal Buildings Only

Other

Number of Bedrooms(Required)

Age of the Structure(Required)

Size(Required)

Length of Structure (in feet)

Describe the Addition Being Added to the Principal Building(Required)

Structure Information

Structure Size(Required)

Please enter the length and width in feet. i.e. 70’X40′

Is this a replacement for an existing structure?(Required)

Yes

Does this structure include an attached garage?(Required)

Yes

Number of garage parking spaces(Required)

Structure Total Square Footage (excluding basement)(Required)

Select All Utilities Structure Will Include(Required)

Water

Electric

HVAC

No Utilities

Distance to Sewer Connection Confirmation

In the County of Trimble, Owners of all houses, buildings, or properties used for human occupancy, employment, recreation, or any other purpose, situated in Trimble County, Kentucky abutting any street, road, alley, or right of way in which there is located a public sanitary sewer line within THREE HUNDRED FEET (300 FEET) is hereby required to connect to the public sewer system, per Ordinance 830.26

If parcel is located in the County, is the proposed structure within 300 feet of a sewer line?(Required)

Yes

In the City of Bedford, The owner of all presently existing and situated houses, buildings, or properties used for human occupancy, employment, recreation, or other purposes, situated within the city and abutting on any street, alley, or right-of-way in which there is now located or may in the future be located a public sanitary or combined sewer of the city, is required at his expense to install suitable toilet facilities therein, and to connect the facilities directly with the proper public sewer in accordance with the provisions of this chapter, within 90 days after date of official notice to do so, provided that the public sewer is within 100 feet (30.5 meters) of the property line, per Ordinance 51.060

If parcel is located in Bedford City Limits, is the proposed structure within 100 feet of a sewer line?(Required)

Yes

Lot Information

Parcel Size in Acres(Required)

Setback Measurement Instructions: Measure (in feet) from exterior wall of structure to nearest property line for each side of structure. **Front setback is measured from structure wall to center of road**

Front Setback (measured in feet)(Required)

Right Setback (measured in feet)(Required)

Back Setback (measured in feet)(Required)

Left Setback (measured in feet)(Required)

Parcel Road Frontage (measured in feet)(Required)

List all structures currently on parcel(Required)

List proposed structures to be erected/placed on parcel(Required)

Proposed Construction Start Date

Does the parcel adjoin a body of water?(Required)

Example: Creek, Stream, River, Pond, etc.

Yes

Is there a body of water on the parcel?(Required)

Example: Creek, Stream, River, Pond, etc.

Yes

If there is a body of water on parcel, describe the body of water.(Required)

Construction Plans

One copy of the CONSTRUCTION PLANS must be provided with the application, including floor plan, front, rear and both side elevations and typical wall cross section. These plans will NOT be returned to you. PDF versions of Construction Plans are acceptable via email.

Upload your Construction Plans (optional)

Can be submitted directly to the Planning & Zoning Office.

Accepted file types: jpg, pdf, Max. file size: 10 MB.

Health Department Approval

Will this building be serviced by an on-site sewage disposal system such as a septic tank?(Required)

If YES, a Certificate of Approval from the Health Department must be attached.

Yes

Upload your Certificate of Approval from the Health Department(Required)

Accepted file types: jpg, pdf, Max. file size: 10 MB.

Road Department Approval

I acknowledge that I have been advised that issuance of a zoning permit by the Planning and Zoning Office does not evidence a right for entrance or encroachment onto the adjacent public road. It is the sole responsibility of the Applicant to obtain such permits whether county, state or federal.

Drawing – Plot Plan

Provide a sketch that identifies all parcel boundary lines and all structures, driveways, fences, etc. currently on parcel and the proposed structure.

Can be submitted directly to the Planning & Zoning Office.

Accepted file types: jpg, pdf, Max. file size: 10 MB.

Applicant/Owner Acknowledgment

Untitled

First Choice

Second Choice

Third Choice

Untitled