Service Level Evaluation Request Form
This form shall be submitted to the Planning and Zoning Office and a response shall be received
back from DelDOT prior to the applicant being able to submit an application to the Planning and
Zoning Office.
Date:
Site Information:
Site Address/Location:
Tax Parcel Number:
Current Zoning:
Proposed Zoning:
Land Use Classification:
Proposed Use(s):
Square footage of any proposed buildings or number of units:
Applicant Information:
Applicant’s Name:
Applicant’s Address:
City: State: Zip Code:
Applicant’s Phone Number:
Applicant’s e-mail address:
COUNTY ADMINISTRATIVE OFFICES
2 THE CIRCLE I PO BOX 417
GEORGETOWN, DELAWARE 19947
Last
updated
3-12-20