Submit Zoning Permit - Hellam Township, PA

Applicant Name * Required
First Last
Company (If applicable)
Date of request * Required
MM slash DD slash YYYY
Phone * Required
Email * Required
Site Address * Required
Street Address Address Line 2 City State ZIP Code
Upload application * Required
Max. file size: 25 MB.
You must fill out the Zoning application form and upload it to this submission page for us to begin processing your application. An incomplete application will not be reviewed until all missing information is submitted. This includes all signatures. If information is not submitted the application can be deemed incomplete, and can be denied. Mark N/A if any section is not applicable. If you have any questions, please call the Township at 717-434-1300
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Electronic Signature
By checking this box, I am in agreement with the consent agreement below, and am providing my signature electronically.
This application, together with the signed site plan and construction documents, is made part of this application by the undersigned. I/We hereby certify that as applicants, owners, or others, that I/We have completed and read the foregoing application, that the information and statements provided on this application are true and correct to the best of our knowledge or belief. I/We do hereby certify under penalty of perjury.
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