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Contact Us
Plan Review Application
County
(Required)
Municipality
(Required)
Application Date
MM slash DD slash YYYY
LOCATION OF PROPOSED WORK OR IMPROVEMENT
Site Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Lot #
Subdivision/Land Development:
Phase:
Section:
Owner
Phone
Fax
Mailing Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Email
(Required)
CONTRACTOR
Phone
Fax
Who shall we contact if there are questions?
Phone
Who shall we contact for pick up and fee’s?
Phone
Plans to be reviewed for:
Building
Plumbing
Mechanical
Electrical Fire Accessibility
TYPE OF WORK AND DESCRIPTION OF BUILDING USE MUST BE FILLED OUT COMPLETELY
TYPE OF WORK OR IMPROVEMENT (Check One)
New Building
Addition
Alteration
Repair
Change of Use Other
Describe the proposed work
DESCRIPTION OF BUILDING USE (Check One)
Residential
One-Family Dwelling (R-3)
Two-Family Dwelling (R-3)
Non-Residential
Specific Use
Use G roup
Change in Use
Yes
No
If YES Indicate Former
File
Drop files here or
Select files
Accepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 1 GB.
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