Applicant InformationDate* MM slash DD slash YYYY Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code TelephoneFaxEmail Preferred means of notification:* Mail Phone Fax Email Proposed type of development:* Short Plat Subdivision Apartment Commercial Property LocationTax Lot/Serial Acct. No. Property Address (or nearest cross street)*Please submit plat map with requestAccepted file types: jpg, pdf, doc, dox, Max. file size: 50 MB.We accept JPG, PDF, and Word Documents.
