• Additions, Collocations, Substantial Modifications to Existing Cell Tower Permit Application

  • Prior to completing application, have an understanding of the requirements as found in:

    • IC 8-1-32.3, Permits for Wireless Service Providers on the Indiana General Assembly webpage
    • St. Joseph County Zoning Requirements
    • City of South Bend Zoning Requirements

     

  • About Applicant

  • Format: (000) 000-0000.
  • Is the plan review contact different from the applicant?
  • Format: (000) 000-0000.

  • About Property Owner and Property

  • Format: (000) 000-0000.
  • Is the mailing address the same as the project address?*
  • Will the tower be located in the City or the County?
  • Is the property in an overlay district?
  • Approval Date from Design Review Specialist
     - -
  • Do you have variance or special use / exception approval?
  • Approval Date
     - -
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  • Will any part of this installation encroach on the public right-of-way?
  • Approval Date from Public Works
     - -
  • Is the proposed tower site in a historic district?
  • Approval Date from Historic Preservation Commission
     - -
  • Is the proposed tower site in a flood plain or wetland?
  • Approval Date from applicable authority
     - -

  • About Project

  • Project Type*
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  • Proposed Additions and Changes

  • Is excavation required outside the boundaries of the leased or owned property, or to any access or utility easements related to the site?
  • Is the equipment compound being expanded by more than 2,500 square feet?

  • Land

  • Fencing, Landscaping, and Access

  • Is the fence black vinyl coated?
  • Does the fence include security wire?
  • Is the security wire pointed inward and down?
  • Fence Open Space Percentage
  • Is fencing being provided as required?
  • Do you have fencing variance approval?
  • Fencing Variance Approval Date
     - -
  • Is landscaping being provided as required?
  • Landscaping Variance Approval
  • Landscaping Variance Approval Date
     - -
  • Are access drives and walkways provided with hard surface as required?
  • Access Drive Variance Approval
  • Access Drive Variance Approval Date
     - -

  • About Contractors

  • Format: (000) 000-0000.

  • Terms and Conditions

  • By typing my name in the boxes below, I agree that I'm electronically signing this form. I affirm that the information that I've provided is accurate and true to the best of my knowledge. I understand that my electronic signature is legally binding and equivalent to my handwritten signature.

  • Date*
     - -

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