New Development or Subdivision Application

1. Developer/Subdivider Contact Information

Contact Person *This question is required.

Title *This question is required.

Address *This question is required.

City *This question is required.

State *This question is required.

Zip Code *This question is required. This question requires a valid number format.

Phone *This question is required.

Cell Phone

Fax

Email *This question is required. This question requires a valid email address.

2. Project Location

Project Address/Location *This question is required.

Township *This question is required.

Range *This question is required.

Section *This question is required.

Quarter-sections *This question is required.

County *This question is required.

Nearest cross street/road or closet neighbor's describe *This question is required.

3. Project Information

4. Contractor Information

General Contractor

Contact Person

Phone Number

Surveyor/Engineering Firm

Contact Person

Phone Number

Email This question requires a valid email address.

5. Project Schedule

Construction Start Date *This question is required. This question requires a valid date format of MM/DD/YYYY.

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Electric Target Install Date *This question is required. This question requires a valid date format of MM/DD/YYYY.

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General Contractor will need to notify us if any temporary service job trailer is required.

6. Survey or Site PlanA plat of survey with legal description and a set of current engineering plans (including sewer, water, roads, and development grading) MUST accompany this application.

Approval State *This question is required.

7. Site Plan Attachment *This question is required.Accepted file types: png, gif, jpg, jpeg, doc, docx, xlsx, pdf

File: {{filename}} delete

8. Authorization

Signature *This question is required.

Clear

Signature of

Date *This question is required. This question requires a valid date format of MM/DD/YYYY.

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