TOWN OF GRAND ISLE
 
APPLICATION FOR CERTIFICATE OF OCCUPANCY

         [Allow at least two (2) weeks for processing]
  
Address of property: ________________________________________
Parcel id #: ________________________________________________
Property owner: ____________________________________________
 
 
__________________________    ________________________
LAND OWNER                                  Dated
 
_____________________________   _________________________
APPLICANT                                         Dated
 
           

                  Do Not Write below This Line

APPROVED_____              DENIED_____              C05-_____
 
 
______________________________          ______________
LINDA EFFEL                                     DATE OF ACTION
ZONING ADMINISTRATIVE OFFICER