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Plan Commission Demolition Permit Interested Parties Notification Form
(* indicates required field)
Contact Information
Contact Name:
*
FIRST NAME
LAST NAME
Contact Organization/Company:
Contact Address Line 1:
*
Contact Address Line 2:
Contact City:
*
Contact State:
*
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Contact Zip Code:
*
Contact Primary Phone Number:
*
ex: (###)###-####
EXT:
Contact Email:
*
Demolition Information
Anticipated Date of Application:
*
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
Type of Building:
*
ex: single-family house, apartment building, commercial building
City Address of building
to be demolished:
*
ex: 1 N Demolition St
Madison, WI
Zip Code of Building to be Demolished:
*
Comments
Comments:
must be 500 characters or less