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4. Planning & GIS Department Determination Request Form

   This form is for requesting a determination. Please provide all relevant information about the subject property, the property owner, and the applicant as it pertains to the request. Please indicate the specific regulations/ordinances (if any) of your inquiry and provide a thorough description of the request in the space provided.

8. Subject Property
10. Section
11. Township
12. Range
13. Certificate of Survey (COS) No.
15. Parcel No.
16. Geocode
18. Zoning District
19. Total Parcel Area
20. Unit:

    1. Acres
    2. Square Feet
22. Subdivision
24. Address
26. City
27. State
28. Zip Code
32. Property Owner
34. Name
35. Email Address
37. Address
39. City
40. State
41. Zip Code
43. Phone Number
44. Fax Number
48. Applicant
    (Contractor, Engineer, etc. or whomever that is filling out this request form)
49. Today's Date:
    Today's Date:
51. Name*
52. Email Address
54. Address
56. City
57. State
58. Zip Code
60. Phone Number
61. Fax Number
65. Specific Regulations/Ordinances (If Any)

    1. Zoning Regulations
    2. Floodplain Regulations

    1. Subdivision Regulations
    2. COS/Plat Review

    1. Building For Lease or Rent Regulations
    2. Ordinance/Other:
67. Ordinance/Other:
71. Request:*
73. Attach any Supporting Documents
Leave This Blank:


75. 1. Receive an email copy of this form.
76. Email address

    This field is not part of the form submission.

77. Submit Submit and Print

* indicates a required field