Small-Scale Wind Turbine Zoning Compliance Form

Applicant Information

Name Address Phone Number Email

Property Information

Property Address Parcel ID / Lot Number Current Zoning Lot Size (acres or sq ft)

Wind Turbine Information

Turbine Model Tower Height (ft) Rotor Diameter (ft) Power Rating (kW) Number of Turbines

Setbacks

Setback Description	Required Distance (ft)	Actual Distance (ft)
Property Lines
Occupied Buildings
Roadways/Public Right-of-Way

Additional Documentation

Site Plan Description Neighbor Consent (if required) Other Supporting Documents

Certification

I certify that the information submitted is correct to the best of my knowledge. Signature Date