Pickerington, OH · Fairfield County

No notary required

Conditional Use Permit Application

Property owners or applicants use this application to request a conditional use permit in Pickerington and provide details about the property and proposed use.

What this form is

Use this application to request a conditional use permit from Pickerington’s Planning and Zoning Department. It asks for the project address, current use and zoning, parcel area, proposed change, and applicant contact information, with signatures and dates from the applicant and property owner when they are different. Applicants must include 25 plot plan copies, a letter of intent, and the listed fee; submission deadlines and meeting dates are also provided.

Who needs it

A property owner or applicant seeking a conditional use permit in Pickerington should complete this application and provide the required supporting items.

How to submit it

Submit the application and required materials to the Planning and Zoning Department, 51 East Columbus Street, Pickerington, Ohio 43147. The form lists a $150 commercial or $100 residential fee payable to the City.

About notarization

This application does not require a notary; the applicant and, when different, the property owner sign and date it.

How to submit this form

  1. 1

    Download the Application

    Download the Conditional Use Permit Application PDF.

  2. 2

    Complete the Application

    Enter the project and applicant details, then sign and date the application.

  3. 3

    Gather Required Items

    Include 25 plot plan copies, a letter of intent, and the applicable fee. Fold plans; rolled plans will not be accepted.

  4. 4

    Submit to the City

    Submit the application and materials to the Planning and Zoning Department at 51 East Columbus Street.

Frequently asked questions

What must I include with the conditional use permit application?
Include 25 copies of a plot plan, a letter of intent describing the reason for the conditional use, and the applicable fee listed on the application.
Do I need a notary for the Conditional Use Permit Application?
No. The application does not require a notary. The applicant and, if different, the property owner must sign and date it.
How do I submit the Conditional Use Permit Application?
Submit the application and required materials to the Planning and Zoning Department at 51 East Columbus Street, Pickerington, Ohio 43147.
What fees does the application list?
The application lists a $150 commercial fee or a $100 residential fee, payable to the City of Pickerington.

Need something notarized?

This Conditional Use Permit Application doesn’t need a notary — but if you have another Pickerington form that does, a commissioned online notary can help.