"*" indicates required fields Property InformationProperty Location* Street Address City State ZIP Code Tax Parcel Number* Zoning District* Current Use of Property* Assembly High Hazard Business Institutional Education Mercantile Factory Industrial Storage Utility & Accessory Residential Type* If Vacant, most recent use of property: Date Property Vacated (if known) Current Use Permitted By* By Right Special Exception Conditional Use Prior Variance Date of Purchase by Current Owner* Is the Property* Owner Occupied Rental Property Authorizing Ordinance Section* Date Granted* Identify Lot Dimensions* Identify Existing Improvements on Lot*Identify Existing Signs on Lot*Proposed Project InformationProposed Use of Property* Assembly High Hazard Business Institutional Education Mercantile Factory Industrial Storage Utility & Accessory Residential Type* Proposed Use Permitted By* By Right Special Exception Conditional Use Prior Variance Authorizing Ordinance Section* Proposed WorkDescribe in detail the proposed project. Use additional sheets and/or documentation as necessary.Proposed Work*IdentificationOwner or Lessee Name* Owner or Lessee Phone Number* Owner or Lessee Fax Number Owner or Lessee Mailing Address* Street Address City State ZIP Code Builder* Builder Phone Number* Builder Fax Number Builder Mailing Address* Street Address City State Zip Code Architect and/or Engineer* Architect and/or Engineer Phone Number* Architect and/or Engineer Fax Number Architect and/or Engineer Mailing Address* Street Address City State ZIP Code Check Box* I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction. Applicant Name* Applicant Email* Applicant Address* Street Address City State ZIP Code Contractors Building License Number* Other InformationApplicant Signature* Date* ReCAPTCHAPhoneThis field is for validation purposes and should be left unchanged. Δ
