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Temporary Permit Application (Construction Trailer) TEMPORARY PERMIT (Construction Trailer) CITY OF LAVERGNE CODES DEPARTMENT 5175 MURFREESBORO RD LAVERGNE, TN 37086 PHONE (615) 213-2624 FAX (615) 213-8692 DATE: ______________________PERMIT #_____________________________________________________ STREET ADDRESS REQUIRED_______________________________________________________________________________ APPLICANT: NAME _________________________________PHONE _______________________________ EMAIL ADDRESS REQUIRED: ______________________________________________________________ ADD @lavergnetn.gov to your SPAM “allow list” ADDRESS__________________________________________________________________________________ CITY, STATE, ZIP ___________________________________________________________________________ PURPOSE FOR TEMPORARY USE? REQUESTED TIME FRAME FOR TEMPORARY USE? ___________________________________________________________________________________________ PERMIT FEE (Construction Trailer) $50.00 SUBMIT A COPY OF THE PLOT PLAN (drawing of lot) SHOWING WHERE EVERYTHING IS ON THE LOT AND WHERE THE TEMPORARY USE/STRUCTURE WILL BE LOCATED. Not valid for more than one year but may be renewed for six month extensions; however, not more than three extensions for a particular use shall be granted. Such use shall be removed immediately upon completion of the construction project or upon expiration, whichever occurs sooner. INFORMATION AND DRAWINGS SUBMITTED WITH THIS FORM ARE TAKEN TO BE THE CORRECT STATED INFORMATION AND BY SIGNING THIS FORM YOU ARE STATING THEY ARE CORRECT.IF FOUND TO BE INCORRECT THE CITY OF LAVERGNE CAN REQUIRE THE CORRECTION OF THE PROBLEM BY SUCH MEANS AS DEEMED NECESSARY. SIGNATURE OF APPLICANT:___________________________________DATE___________________ APPROVAL:_______________________________DATE:______________________________________ DENIED: _________________________________DATE:______________________________________