Plainfield Township

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Floodplain Permit Application Permit # ___________ Site/Contact Information Site Address: ________________________________________ ______________________________ Primary Contact Person (check one) Property Owner Name Address Phone Email Applicant Name Address Phone Email Contractor Name PA Contractor s # Address Phone Email Project Type New Construction Addition Renovation/Alteration Driveway Covered/Enclosed Porch Flood Damage Repair Pool/Hot Tub Mechanical/Electrical/Plumbing Other:____________________ Deck/Patio Detached Garage/Shed/Pole Barn Total Cost of Improvements: $__________________ Flood damage related costs (if applicable): $__________________ Market Value of Property (if property suffered flood damage, use pre-damage market value) $__________________ Brief Description of Project: ________________________________________ ______________________ ________________________________________ ________________________________________ _____ Check each box below indicating that all of the following will be submitted with this application: Two (2) copies of site plan with floodplain location shown Two (2) complete sets of construction drawings Print Name of Applicant: ________________________________________ ____ Signature of Applicant: ____

plans that address compliance with all relevant provisions of the Plainfield Township Zoning Ordinance Flood Hazard Overlay District Regulations (Section 507, as amended). Area?

  Ordinance, Zoning, Plainfield, Township, Plainfield township zoning ordinance, Plainfield township