Land Use Application and Duplicate Revalidation Form Request

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Please correct the fields below:

Please correct the field(s) marked in red below:

Complete the request form to receive an application for land use or request duplicate revalidation forms. For land use applications, you will be placed on a list to receive a form. All applications are mailed out at the end of August. This is not a guarantee of approval for land use. Filing time for land use is September 1 to October 25 each year. Duplicate revalidation forms will be sent after our office receives the request.

1

What are you requesting?

Land Use Application

Duplicate Revalidation Form(s)

2

Please complete the following:

Parcel Owner Name(s)

Parcel Identification Number (PIN)

3

Mailing Address

Street Number and Name

City

State

Zip Code

4

Contact Information

Name

Daytime Phone Numberext.

Email Address

Comments

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Email Address