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:*

Contact Zip Code:*

Contact Primary Phone Number:*
ex: (###)###-####

EXT:

Contact Email:*

Anticipated Date of Application:*

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:
must be 500 characters or less