File Number:
Talbot County Department of Planning and Zoning
215 Bay Street, Suite 2
Easton, Maryland 21601
410-770-8030
Request to Planning Officer Application
Applicant(s) Name: Email:
Address:
Telephone Number(s): (C)
Location of Property:
Tax Map: Grid: Parcel: Lot: Zone:
Detailed Description of the Request: (use attachment if necessary, submit drawing or site plan
if possible)
Applicant’s/Agent Signature Date
Revised: 02/20/15
Office Use Only:
Date Completed: _______________________ Reviewed by: __________________________
Final Decision: _______________________________________________________________
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