Jackson Township Zoning & Planning Department

Application for Certification of Compliance

Application No:     Date:     Certificate No: 

Application is hereby made for permission to use:

Address: 

Section No:             Zoning District: 

The said building or premises will be used for the following purposes: 

If other, describe: 

Specific use: 

Length of time at this location: 

Name of Business: 

Name of Applicant: 

Business Address: 

   

Business Phone: 

Home Emergency Phone: 

Business Owner Name: 

Manager Name: 

Alarm Company: 

Property Owner Name: 

Owner Address: 

   

Owner Phone: 

I hereby certify that I, the undersigned, am making this application on behalf of and with the full authority of and, that the statements made here are true.

                            (Company)
 

 

 

____________________________________________  ____________________________________________ 
Applicant Jackson Township Zoning Administrator
 
Fee Paid:             Date Paid:     

Receipt No:         Date Issued: 

 

Section 801.17 Certificate of Compliance.  A certificate of Compliance shall be required to be obtained prior to occupancy of any permitted or conditionally permitted use for all businesses.  Any change in use from one use to another, addition of a use or from one owner/tenant to another will require a new Certificate of Compliance.  Approval and issuance of a Certificate of Compliance shall be given upon inspection and approval by the Jackson Township Zoning Department and the Jackson Township Fire Prevention Department.


Jackson Township Zoning Department

5735 Wales Avenue NW

Massillon OH  44646

Telephone:    (330) 832-8023

FAX:              (330) 832-5936