CITY OF BRIDGEPORT
Z
ONING REBUILD REQUEST
Date: ______________
A
Zoning Rebuild Request is being submitted for the property detailed below.
Current use of the property:
______________________________________________________________________
Requesters name and address:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Business Affiliation:
______________________________________________________________________
Signature:
_____________________________________________________________________
Telephone/Email:
______________________________________________________________________
Fees are set by the City Council. Letter will be mailed unless otherwise indicated.
6/22/16
Block-Lot:Property address:
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