HOW TO COMPLETE APPLICATION FOR ZONING PERMIT
Des Moines County Land Use Department
C/O Southeast Iowa Regional Planning Commission
211 North Gear Avenue, Suite 100
West Burlington, Iowa 52655
1
1.
OWNER, ADDRESS, TELEPHONE: Name, current mailing address of the owner of the property, and current telephone number (number
where the owner can be reached between 8:00 A.M. & 4:30 P.M.)
2.
JOB SITE ADDRESS: Address of the property where the proposed work is going to take place. If this address is the same as the current
mailing address “ Same as above”.
3.
CIVIL TOWNSHIP: Name of the township where the subject property is located. Example: Benton, Franklin, Union, Flint River, etc.
4.
LEGAL DESCRIPTION: Legal description of the subject property, which can be taken from your tax statement or the deed for the property. A
copy of the deed can accompany the application if the legal is lengthy.
5.
BUILDER, ADDRESS, TELEPHONE: Name, mailing address of the builder, telephone number, if know at the time of application
6.
FLOOD INSURANCE RATE MAP NUMBER: This data can be furnished to you by the Land Use Department. If your property is located in
the Flood Plain or Flood Way, you will be required to also obtain a Flood Plain Development Permit.
7.
ZONING DISTRICT: This data can be furnished to you by the Land Use Department.
8.
CLASS OF WORK: Check the appropriate box.
9.
VALUATION OF IMPROVEMENTS: The approximate value of the structure.
10.
PROPOSED IMPROVEMENTS: Describe the structure proposed to be constructed (examples - single family dwelling, residential garage,
deck, commercial storage building, billboard sign, etc.) or the change in use of an existing building (example - change of use of existing
garage to commercial storage building). Also, denote the outside dimensions of the proposed construction. If these dimensions are highly
irregular, denote “see plan” in the space provided fro dimensions.
11.
SITE STANDARDS: The information required in the “minimum” and “maximum” spaces can be furnished by the Department.
A.
Lot Area - existing: Denote net lot size (acres) of the property in the “existing” box.
B.
Lot Width - existing: Denote width of property in the “existing” box.
C.
Lot Depth - existing: Denote depth of property in the “existing” box.
D.
Off-Street Parking - proposed: Denote number of off-street parking spaces in the “proposed” box, that will be provided either inside a
garage or behind the front or street side yard setback lines.
E
Lot Coverage - Proposed: Calculate the percentage of area of the property that will be covered by existing and proposed structures
and write that number in the “proposed” box.
12.
STRUCTURAL STANDARDS: The information required in the “minimum” and “maximum” boxes can be furnished by the Department.
Complete data for “principal structure” if your proposed construction is a single-family dwelling or the main building on commercial or industrial
zoned property. Complete data for “accessory structure” if your proposed construction is a detached garage or similar type outbuildings.
A.
Stories - proposed: Denote number of stories of the proposed structure.
B.
Setbacks - proposed: Denote appropriate setback of the proposed structure.
NOTE: To calculate the required front yard setback or side yard setback you begin measuring from the road right-of-way line, not the edge of the road
surface. Double check the right-of-way width by contacting the County Engineer’s Office (753-8241) or consulting your survey.
13.
ATTACHMENTS:
A.
Site Plan: See example. You will need to draw, on a separate sheet of paper, a site plan similar to the example.
B.
Building Floor Plan: Layout of home or building showing rooms, bathrooms, kitchen, etc.
C.
Erosion Control Plan.
D.
Filing Fee: The filing fee is $ 25.00 per structure.
14.
SIGNATURE: Sign and date the application.
WHEN CAN I EXPECT TO RECEIVE MY PERMIT?
Once the application has been properly filed with the Land Use Department, it will be reviewed by the Land Use Administrator. If everything is found to
be in order and to comply with regulations of the appropriate ordinance, a permit will be issued within seven (7) working days or less.
WHAT OTHER PERMITS DO I NEED?




NOTE:
Well Permit: If you are drilling a new well, you will need to apply for a well permit with the County Health Department (753-8217).
Septic Permit: If you are going to construct, alter or repair a septic system (tank, leach field, or tank and leach field) you will need to apply for a
septic permit, in addition to your well permit with the County Health Department (753-8217).
Entrance Permit: If a new entrance is required you must contact the appropriate authorities. For entrance permits along a county road, contact
the County Engineer (753-8241). For entrance permits along a state highway contact the Iowa Department of Transportation (752-6065).
Flood Plain Permit: If your property is located in the Flood Plain, you must obtain a flood plain permit. This application can be obtained
through the Land Use Department (753-4316).
The data contained in this document is for reference purposes only. For the specific regulations, you should refer to the Des Moines County
Zoning Ordinance. Data contained in this document is subject to change without further notice to recipients of this document.
FOR OFFICE USE ONLY: Permit #ZP-
RECEIPT #
AMOUNT: $25.00
DES MOINES COUNTY, IOWA
ZONING PERMIT APPLICATION
1. OWNER: _________________________________________________________________________________
Address: ________________________________________________________________________________
*911 Address*
Telephone:
_____________________
2. JOB SITE ADDRESS:  Same as above or _____________________________________________________
3. TOWNSHIP: _ ______________________________________________________________________________
4. LEGAL DESCRIPTION:  Per Attachment or: ____________________________________________________
5. BUILDER:__________________________________________________________________________________
Address: ________________________________________________________________________________
Telephone: _______________________________________
6.
FLOOD INSURANCE RATE MAP NUMBER: 190113 Map #
A.
Flood Zone:  Zone A
 Zone B  Zone X
B.
Flood plain?  Yes  No
C.
Flood way?
 Yes  No
If you answered yes to either 6b or 6c, you must apply for a Flood Plain Development Permit on a separate
application form.
7.
ZONING DISTRICT:

A-1
8.
CLASS OF WORK:

New

R-1  R-2


B-1

I-1

FP
Addition  Install/Move/Demolition
 Home Occupation

C-2

Change of Use
Description of Install/Move/Demolition, Change of Use or Home Occupation:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
9.
ESTIMATED VALUATION OF IMPROVEMENTS:
$ _______________________________
10. PROPOSED IMPROVEMENTS:
Type of Structure / Use of Structure
Structure #1
Structure #2
Structure #3
Dimensions
11. SITE STANDARDS: (furnished by Office)
Minimum
Maximum
Existing
Proposed
Lot Area (Net)
Lot Width
Lot Depth
Off-Street Parking
Lot Coverage
12. STRUCTURAL STANDARDS:
PRINCIPAL STRUCTURE
Minimum
Maximum
Proposed
ACCESSORY STRUCTURE
Minimum
Maximum
Proposed
Stories
Setbacks
-Front Yard*
-Side Yard**
or 5' **
-Rear Yard**
or 5' **
* The front yard setback minimum is measured from the road right-of-way, not from the edge of the gravel or pavement.
** 5' rear and side yard setback is permitted for a detached accessory structure located in the rear yard.
Building must be at least 5 feet behind dwelling unit.
13. ATTACHED TO THE APPLICATION IS THE FOLLOWING DOCUMENTATION AND / OR ATTACHMENT:
FOR OFFICE USE
a.
b.
c.
d.
Site Plan (see example)
Building Floor Plan
Erosion Control Plan
Filing Fee (Checks are made payable to “Des Moines County”)




I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND
THAT ALL WORK WILL BE COMPLETED IN ACCORDANCE WITH THE DES MOINES COUNTY, IOWA, ZONING
ORDINANCE.
Type or Print Name:___________________________________ Signature: __________________________________
Date: ______________________
RETURN COMPLETED FORM TO:
DES MOINES COUNTY
LAND USE DEPARTMENT
c/o Southeast Iowa Regional Planning Commission
211 North Gear Avenue, Suite 100
WEST BURLINGTON, IOWA 52655
.
IF YOU HAVE ANY QUESTIONS ON COMPLETING THIS FORM, PLEASE FEEL FREE TO CALL (319) 753-4316
APPROVED BY:
Date:________________________
(Land Use Administrator or Designee)
“Notice to the Applicant”
Upon denial of this permit, the applicant has 21 calendar days to appeal the decision of the Land Use
Administrator, apply for a variance to the zoning regulations or apply for a rezoning classification. The applicant
must file an appeal, variance or rezoning on forms provided by the Land Use Administrator for the Board of
Adjustment and Planning and Zoning Commission.
EXAMPLE OF ZONING PERMIT SITE PLAN
BE SURE TO SHOW THE FOLLOWING ON YOUR SITE
PLAN:
ZONING PERMIT SITE PLAN
* All Existing and Proposed Buildings
* Dimensions of Property
* Width of Right-of-Way
* Scale and North Arrow
Ex : JOHN SMITH PROPERTY
LOT 1, COUNTRY ACRES SUB.
1" (inch) = 50’ (feet)'
.