2010 TOWN OF CHARLESTOWN
APPLICATION FOR MINOR ZONING/BUILDING PERMIT


Directions:
     1.  Enter your information in the spaces provided.
     2.  Click on "Continue".
     3.  Print the next web page.
     4.  Bring a copy of the completed application along with
          four copies of scaled site plan to:

          Charlestown Town Hall
          Charlestown, Maryland 21914
 Applicant:
  Name:  
  Address:  
   Street
  
   City State Zip Code
  Phone No:   (H)        (W)  
  E-Mail:  
 Property Owner:
  Name:  
  Address:  
   Street
  
   City State Zip Code
 Building Contractor:
  Name:  
  Address:  
   Street
  
   City State Zip Code
 Permit Information
  Estimated Cost of Work:        Dimensions of Lot        Sq. Ft.  
  Brief Description of ALL Proposed Work
     
  Material(s) to be used