2. 
4. Demolition Permit Application
6. Address of building to be demolished*
8. Property Owner's Name*
10. Property Owner's Address*
12. Property Owner's Phone #*
14. Applicant's Name (if other than owner)
16. Applicant's Address (if other than owner)
18. Applicant's Phone # (if other than owner)
20. Date demo will begin*
    Date demo will begin
21. Date demo will finish*
    Date demo will finish
23. Are all utilities disconnected*

    1. Yes
    2. No
25. If no, which utilities need to be disconnected
27. Have adjoining property owners been notified at least one week prior to demolition*

    1. Yes
    2. No
29. The proposed work is authorized by the owner in fee and I as applicant, am authorized to make this application. I acknowledge that this application is conditional upon complying with all applicable Federal and State laws and regulations.
31. Name*
    By entering your name and date above, you are signing this form and agreeing to all terms and conditions of this application.
32. Date*
    Date
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit Submit and Print

* indicates a required field