Stroud Township  h  1211 North Fifth Street  h  Stroudsburg, PA 18360
Phone (570) 421-3362   Fax (570) 421-3240   E-Mail stroudhb@ptd.net (res.) stroudpa@ptd.net (com.)

 ZONING PERMIT APPLICATION

         Application is hereby made for a permit in conformity with requirements of the Zoning Ordinance No. 5 – 1998 of the Township of Stroud, including amendments.  Any proposed buildings must conform with all building and energy conservation standards as mandated in the Pennsylvania Building Energy Conservation Act 222 and any all amendments thereto.  The provisions of Stroud Township Ordinance No. 192, regarding water conserving plumbing fixtures must be adhered to. 

ALL APPLICABLE BLANKS MUST BE COMPLETED
* REQUIRED Information on ALL Permit Applications 

* Lot # and Subdivision          __________________________________________________________________
* House # and Street Name   _________________________________________________________________
* PIN # (found on lower right corner of Tax Bill)    _______________________________________________
* Zoning District (ie.: R-1, R-2, C-1 etc.)   ________________

 The undersigned applicant hereby applies for a permit to:
* Project Description:     ________________________________________________________________________________
                                     ________________________________________________________________________________
                                     ________________________________________________________________________________

* Anticipated Start Date:           _______________          Anticipated Completion Date:   _____________________
* Estimated Cost: (Copy of Sales Agreement Required) $_________________
Proposed Building Height: _______                                * Proposed Building Area: __________________ square feet
Number of:   Proposed Bedrooms ____   Existing Bedrooms _____    Total: _____
Lot Area:            ___________________________ square feet
Sewage Disposal: __  Central Sewer                  __  On-Lot Disposal
Water Supply:      __  Central Water                  __  On-Lot Supply
Street Access:     __  State                                 __  Township         __ Other

 For Signage, please complete this section:        Wall               Ground                Other      Sign Area:  _______________ square feet        Sign Height:  _________ feet

 * PROPERTY OWNER INFORMATION
Name:              ___________________________________________________________________
Address:           ___________________________________________________________________
Phone #:           __________________________________ Fax #:____________________________
Cell phone #: __________________________E-mail address: ______________________________

 * APPLICANT INFORMATION      (If different than owner)
Name:              ___________________________________________________________________
Address:           ___________________________________________________________________
Phone #:           __________________________________ Fax #:____________________________
Cell phone #: __________________________E-mail address: ______________________________

 * CONTRACTOR INFORMATION
Name:              ___________________________________________________________________
Address:           ___________________________________________________________________
Phone #:           __________________________________ Fax #:____________________________
Cell phone #: __________________________E-mail address: ______________________________
                                                               

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