Special Use Permit Application Please enable JavaScript in your browser to complete this form.Date Submitted *Project Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeProperty Owner Name *FirstLastProperty Owner Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeProperty Owner PhoneProperty Owner EmailSpecial Use Permit Requested (please check): Public building erected and used by any department of Municipal, County, State or Federal GovernmentHospital and institution other than a penal institution, mental institution, sanitarium, convalescent care institution, aged care institution, institution for the care of alcoholics or drug addicts and institution for contagious diseasesCemeteryPublic or private preschool training or education, including kindergarten, prekindergarten and nursery school, other than part of and in connection with an elementary school located and functioning within Clarkson ValleyRiding academy or stables either in connection with private clubs or otherwise, where horses are kept, boarded, cared for or rented for remunerationRemoval of gravel, sand, stone, or other raw materialsLibraryAirport and landing fieldPrivate clubSigns larger than four square feet in outline area per facing in "C" Office DistrictsTrailer or temporary building for special eventsMore than one freestanding or attached business sign and/or informational sign per lot within the “PC” DistrictMore than one freestanding or attached business sign per building within the “PC” DistrictChain-link fence, solid fence, and/or safety nets utilized by private clubAlcohol and drug abuse treatment facilityTelecommunications tower and antennaeCertain fences and driveway entrance monuments Property Use Upload REQUIRED DOCUMENTATION: For plans smaller than 11" x 17": Plans can be uploaded to the application, submitted via e-mail to cityhall@clarksonvalley.org, or dropped off at City Hall. If submitting digitally, processing fees will apply. If submitting hard copies, please provide three sets. For plans larger than 11" x 17": Plans need to be uploaded to the application or submitted via e-mail to cityhall@clarksonvalley.org Three sets of plans will need to be dropped of at City Hall. EXTERIOR PROJECTS: Construction documents must bear the seal and date of a registered Missouri design professional. A site plan prepared by a Missouri registered Land Surveyor that illustrates the location of the proposed work, including existing buildings, easements, property lines, setback lines, and distance measurements from property lines to proposed project. Roof trusses must include pre-engineered roof truss diagrams. Retaining walls must include the manufacturer Master Plans. INTERIOR PROJECTS: Plan layout approved and sealed by a registered architect/engineer that indicates pertinent measurements. File Upload Drag & Drop Files, Choose Files to Upload You can upload up to 10 files. No representation in this Application, nor any statement, schedule or exhibit furnished by the Applicant or Owner pursuant to this Application shall contain any untrue statement of a material fact or shall omit a material fact necessary to make the statements, schedules or exhibits contained therein not misleading. Submission of any untrue statement or omission of material facts shall herein be grounds for the immediate revocation of any Permit issued pursuant to this Application. I HEREBY ACKNOWLEDGE THAT I AM THE OWNER OR DULY AUTHORIZED TO ACT IN THE OWNER’S BEHALF AND HEREBY AGREE TO COMPLY WITH THE APPLICABLE REQUIREMENTS OF THE CODES OF THE CITY OF CLARKSON VALLEY, MISSOURI AND THAT I HAVE READ THIS APPLICATION AND GIVEN CORRECT INFORMATION AND UNDERSTAND THAT THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. Submit