Millersburg, PA · Dauphin County

No notary required

Application for Zoning Permit

This application requests a zoning permit for proposed property work and is completed by the applicant and, when different, the property owner.

What this form is

Use this application to request a permit for work such as constructing or altering a structure, changing a use, installing a fence or pool, or erecting a sign. It asks for property, contact, construction, and project details, and requires a plot plan showing site features and measurements. The form also requests applicant and owner signatures when they are different.

Who needs it

Applicants proposing the listed construction, property-use, sign, fence, pool, parking, or home-occupation work should complete this permit application.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; the applicant and, when different, the property owner sign and date the application.

How to submit this form

  1. 1

    Download The Application

    Download the zoning permit application PDF.

  2. 2

    Complete The Application

    Fill in the property, contact, construction, and project information, then sign and date the application.

  3. 3

    Gather Attachments

    Prepare the plot plan and include an elevation certificate if the property is in a floodplain; complete the Application for COA if directed for a historic district.

  4. 4

    Submit To The City

    Submit the completed application and attachments to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the zoning permit application?
No. The form calls for signatures and dates from the applicant and, when different, the property owner; it does not include a notary block.
How do I submit the zoning permit application?
Submit it to the city department named on the form; check the city website for current contact details.
What should I include with the application?
Include a plot plan with the requested property and structure details. If the property is in a floodplain, attach an elevation certificate; the form also directs applicants in a historic district to complete an Application for COA.

Need something notarized?

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