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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'Applicant/Representative' section with your name, mailing address, and telephone number. Ensure all details are accurate for effective communication.
Next, provide information about the property location, including town/village, county, road/highway, and tax map number. This information is crucial for identifying your property.
In the 'Property History' section, answer questions regarding previous Agency permits or actions. If applicable, include file numbers and agency contacts to assist in processing your inquiry.
Describe any existing structures on the property in detail. Include their type, size, construction date, and removal date if relevant. This helps clarify your current situation.
For the 'Project Description', check all applicable boxes and provide detailed information about your proposed project. Attach additional narratives if necessary for clarity.
Finally, ensure you sign the form as an authorized person and return it to the specified address. Double-check that all required documents are included before submission.
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