First Name *

Last Name *

Primary Email *

Phone *

Primary Contact

Project Address

City *

State *

Country

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Zip Code *

Do you have another address to add?

Yes

No

Additional address Details

Parcel or Lot Number

Is the property under contract?

Closing Date

Intended Use

New Construction

Duplex / Multi-Family

Remodel

Addition

Commercial Use

Not Yet Determined

If Not Yet Determined – Describe Development Options Being Considered

Role

Buyer

Investor

Developer

Agent

Owner

Are you aware of any of the following? *

Historic District

Conservation District

Floodplain

PD Zoning

Deed Restrictions

Not Sure

Have you independently reviewed zoning *

If Yes – Upload any documents reviewed

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Demo permit acquisition

Utility disconnect coordination

Asbestos compliance guidance

On-site demolition management

Haul-off and site clearing

Request demolition bid *

Budget?

Are you aware of previous permits? *

I agree to the Authorization to Proceed terms. *

I have read and agree to the Authorization to Proceed terms above.

Digital Signature *

(Full Legal Name)

Date *

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