Applicant Information
Phone: DBA:
Address: Address 2:
City: State:
Address: Address 2:
City: State:
Primary Contact E-Mail:
Moncks Corner Community Development
Company Name:
Owner Name:
Company E-Mail:
Primary Contact Name:
Physical Address
Mailing Address (If Different)
Applicant: By submitting this application I certify that all information given on this application for software
access is factual. Any misrepresentation given by the applicant can result in delaying the progress of the
receiving access or reciept of the permit.
State License #:
Date Received: __________________
Town of Moncks Corner
Community Development Department
A copy of the SC LLR license will need submitted with this form. Failure to submit the license could result
in delays.
*Submit this form to
** An email will be sent from with instructions to complete registration.
The link is only good for 5 days. Once registration is complete the contractor may apply for permits and
submit documents using this log in.