Applicant Also Known As:
Architect:
No
Authorized Agent:
Yes
Business Owner:
No
Contractor:
No
Engineer:
Yes
Escrow Owner:
No
Facility Manager:
No
Non-Profit:
No
Property Owner:
No
Recipient:
No
Surveyor:
No
ADDRESS TYPE OF REQUESTS
Assignment of a New Address:
Yes
Verification of an Existing Address:
No
Request for Suite Number(s):
No
Request for Building Number(s):
No
Change of Existing Address:
No
Change of Address on Permit:
No
Description:
electric vehicle charging station
Do you want to Expedite?:
No
PROPERTY TYPE
Single Family Residence:
No
Multi Family Residential:
No
Two Dwelling Unit Residential:
No
Commercial:
Yes
REQUEST FOR ADDRESS CHANGE
New Construction:
No
Existing Numbers Out of Sequence:
No
Property Split/Merge:
No
Other:
Yes
If Other, Please Explain:
electric vehicle charging station
PROPOSED/EXISTING USE
Single-Family Residential:
No
Multi-Family Residential:
No
Two Dwelling Unit Residential:
No
Commercial:
No
Accessory Address:
Yes
Please Specify Accessory Type:
electric vehicle charging station
Other:
No
Total Number of Lots:
2
PROPERTY INFORMATION
NCB No.:
446
Block No.:
3
Lot No.:
9 & 10
ICRIP ELIGIBILITY
Are you ICRIP Approved?:
No
CONTACT INFORMATION
Contact Flag:
0