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* indicates a required field

2. Name*
4. Property Ownership*
   -- Select One --Property OwnerRepresentative for Property Owner
6. Phone Number*
7. Email Address*
9. Mailing Address*
11. City*
12. Zip Code*
16. Location of Property (complete as appropriate):
18. Property Address (if address has been assigned)
20. Name of Subdivision (if applicable)
22. Phase
23. Block #
24. Lot #
28. Kaufman Central Appraisal District Property ID
30. Latitude in Decimal Degrees:
31. Longitude in Decimal Degrees:
33. NATURE OF PROPOSED CONSTRUCTION (Check and complete as appropriate)*
    -- Select One --New StructureChange to Existing StructurePlacement of FillAlteration of a Natural Waterway or Drainage CourseExcavationOther
35. If Other is selected, explain:*
37. DESCRIPTION OF PROPOSED CONSTRUCTION (Check and complete as appropriate)*
    -- Select One --Frame HomeMobile HomeAccessory Structure (Barn/Shed)Commercial Use Other
39. Non-Residential, Commercial or Other is selected, please explain:*

    If Commercial or Other is chosen, please explain in the comment box.

    If NOT Non-Residential, Commercial or Other, put N/A

41. Deed*
43. Site Plan*
45. Construction Plans
47. Elevation Certificate
49. H & H Study
51. LOMC
53. Additional Documents
57. NOTICE

    Please be aware that any requests for additional information from this department will be sent to the email provided.  Please check your In Box to ensure timely processing. 

59. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
61. Electronic Signature*
62. Date*
    Date

66. If you check the box: Receive an email copy of this form. You’ll receive an e-mail from NoReplyCivicPlus.com.

Leave This Blank:


67. 1. Receive an email copy of this form.
68. Email address

    This field is not part of the form submission.

69. Submit