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I ATTEST THAT THE INFORMATION GIVEN ABOVE IS TRUE & CORRECT:
TOWN OF CAVE CREEK
37622 N CAVE CREEK RD
CAVE CREEK, AZ 85331
PHONE: (480) 488-1400 FAX: (480) 488-0579
www.cavecreekaz.gov
INTAKE DATE
PERMIT #:
CONTRACTOR INFORMATION
REMODEL
ADDITION
SITE ADDRESS:
PROJECT DESCRIPTION (PLEASE BE DETAILED):
OWNER INFORMATION
NAME:
ADDRESS:
APPLICATION FOR PLAN REVIEW, BUILDING PERMIT, AND ZONING CLEARANCE
FENCE INCLUDED:
ASSESOR PARCEL NUMBER:
SUITE # :
BUILDING # :
E-MAIL:
STATE TAX #:
PROJECT CONTACT:
ADDRESS:
PRINTED NAME:
ADDRESS:
CITY:
STATE:
ZIP CODE:
COMPANY NAME:
CONTACT NAME:
SIGNATURE:
DATE:
E-MAIL:
TOWN OF CAVE CREEK BUSINESS LICENSE NUMBER:
SUBDIVISION:
LEGAL LOT #:
STATE:
ZIP CODE:
CONTRACT VALUE OF JOB:
NEW CONSTRUCTION
CITY:
STATE:
ZIP CODE:
CITY:
E-MAIL:
APPLICANT CONTACT INFORMATION
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