Grading and Excavation Permit Application Form
Applicant Information
Name
Company
Address
Phone
Email
Project Information
Project Name
Project Location
Parcel/Tax Map Number
Zoning District
Scope of Work
Description of Work
Area to be Disturbed (sq ft)
Estimated Start Date
Estimated Completion Date
Contractor Information
Contractor Name
License Number
Address
Phone
Email
Attachments
Site Plan
Erosion & Sediment Control Plan
Other Attachments
Certification
I certify that the information provided is correct and complete.