Building Location Permit Application

FOR OFFICE USE ONLY:

File No.: Application Receipt Date:

OWNER/APPLICANT INFORMATION:

Are you the property owner?

Yes, I am the property owner No, I am completing this on behalf of the property owner Property owner's name: Company name: Mailing address: City: State: Zip code: E-mail (Required): Telephone:

REPRESENTATIVE'S INFORMATION:

Representative's name: Name/Relationship to the project: Company name: Mailing address: City: State: Zip code: E-mail (Required): Telephone:

ADDITIONAL APPLICANT/REPRESENTATIVE INFORMATION:

Name & Relationship to the project: Company name: Mailing address: City: State: Zip code: E-mail (Required): Telephone: Submit Application