Permitted Use Certificate Application
A permitted use certificate is required for all business within Jackson Township.  The fee is $50.00.

Application is hereby made for permission to use: Address
Quarter Section #
Zoning District Classification
The said building or premises will be used for the following purposes.

Specific use
New Business in Township
Proposed opening date:
Existing Business (moving to new location)
Previous Address:
Name of Applicant:
Name of Business:
Business Address and Phone
Business Owner:
Emergency Phone Number:
Manager Name:
Property owner Name, Address and Phone
By submitting this application you certify you have the authority of the proposed business and the statements are true.
Your Name:
Your Email:

To validate your submission, please answer the following math problem:

captcha math problem
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Jackson Township
5735 Wales Avenue NW
Massillon, Ohio 44646

Call 330-832-7416
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