1300 East Second Street, Suite 100

 Defiance, Ohio 43512

Telephone: 419-784-3818   FAX:  419-782-4979

FORM D

Zoning Approval

Date __________________

______________________ Township

This is to certify that _______________________________________________

has approval from the township zoning inspector for the building site located at:

________________________________________________________________________

in Section ________________ of ___________________ Township.

____________________________________

(Zoning Inspector)