Homeowner Name

Address

Email

Home Phone #

Please indicate what alteration, addition, or construction you are requesting.

(Fence, Deck Roof, ect.)

If Roof, indicate warranty period

Please describe the method of construction for this project.

What is the shortest distance between the alteration, addition, or construction to the nearest lot line?

Note: Set back distances must be compliant with city requirements.

Describe the material to be used for the alteration, addition, or construction (i.e., paint color, roof type and brand, fencing material, ect.)

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