Owner Information for Project Approval

Mandatory fields marked with an asterisk (*)

Form Completer Information

• *Email Address of Person Completing This Form:
   

Project Owner

• Complete legal name, mailing address and phone number of project OWNER:
• *Name:
• *Address:
  
  
• *Phone:
• If project owner is a business, what type of business is it?
  Select Business Type Sole Proprietor Limited Partnership Limited Liability Partnership Corporation General Partnership Member-Managed Limited Liability Co. Manager-Managed Limited Liability Co. Other
  Other:
• Name and phone number of contact person for project owner and relationship to project owner (i.e. President, General Manager, Contractor, Architect):
• *Name:
• *Phone:
• *Relationship to Project Owner:

Project

• Name of project, name of plat and number of lots to be platted:
• *Project Name:
• *Plat Name:
• *Number of Lots:
• Estimated cost to perform work, along with supportive documentation (i.e. copy of contract, itemized cost estimates, etc.):
• *Estimated Cost:
• *Attach Contract.
• Attach Other.
• *Type of security to be provided:
  Select Security Type Security Bond from Owner Surety Bond from Contractor Dual Obligee Rider to General Contractor`s Bond naming The Water Works & Sanitary Sewer Board as Obligee Cashier`s Check for Cash Bond Letter of Credit Other
  Other:

Company

• Name and Affilliation (Company) of person completing this form:
• *Name:
• *Affilliation: