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Building Inspections - LAND and DEVELOPMENT APPLICATION

For Office Use:
Fee Paid?

OWNER/APPLICANT INFORMATION - Please Email attachments to: BuildingInspections@swaincountync.gov

MM slash DD slash YYYY
Property Owner’s Name:(Required)
(as listed on tax parcel)
Local Contact’s / Agent’s Name:(Required)
Property Owner’s Mailing Address:(Required)
Local Contact’s/ Agent’s Mailing Address:(Required)
Contractor’s Name:
(if known)
(if known)

PROJECT / SITE DATA

Acreage of Disturbed Area:(Required)
Methods to be used for Erosion Control:(Required)
Utilities:(Required)

FOR OFFICE USE

Site’s Physical Address:
Is This Site Within:

CERTIFICATION:

I hereby certify that the information given above, to the best of my knowledge, is true and correct. I am aware that the State and/or County staff can and will conduct periodic inspections of this project to ensure compliance. I acknowledge that I have been informed of land use regulations subject to my property or development. I understand that I must contact the Building Inspections Department at least 24 hours prior to any work commencing. I am aware that this is valid for a maximum of 5 years. The signature below signifies full responsibility for all land disturbing activities on site.
MM slash DD slash YYYY
MM slash DD slash YYYY

You may submit a printed, completed and signed copy of this application to our office, by fax or can be emailed to: BuildingInspections@swaincountync.gov Fees may be required.

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