2. 
4. Permit Renewal Application
6. Address Improvement*
8. Property Owner's Name*
10. Property Owner's Address*
12. Property Owner's Phone #*
14. Current Permit Number*
16. Anticipated Start Date*
    Anticipated Start Date
17. Anticipated Finish Date*
    Anticipated Finish Date
19. Type of Improvement*

    1. Addition/Remodel
    2. Accessory Structure (shed, garage, deck, fence, etc.)
    3. Change of Use
    4. New Building
    5. Other
21. If other please describe
25. 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.
27. Name*
    By entering your name and date above, you are signing this form and agreeing to all terms and conditions of this application.
28. Date*
    Date
30. PERMITS MAY BE RENEWED FOR ONE ADDITIONAL YEAR ONLY AT ONE HALF THE ORIGINAL BUILDING PERMIT FEE.
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit Submit and Print

* indicates a required field