TOWN OF RAMAPO
Building, Planning & Zoning Department
Phone: (845)357-5100 Fax: (845)357-5140
DEMOLITION APPLICATION
A demolition application is required for each separate tax lot
where any demolition will take place.
DATE: ___________________________
PERMIT: _________________________ SECTION & LOT #: __________________
WHERE DEMOLITION WILL OCCUR
PUBLIC RECORD
PROPERTY OWNER NAME: ____________________________________________________
ADDRESS: ___________________________ TELEPHONE # ______________________
EMAIL:____________________________
APPLICANT’S NAME: _________________________________________________________
ADDRESS: ___________________________ TELEPHONE # ______________________
EMAIL:_____________________________
If owner or applicant is a corporation or limited liability company, give name and title of an officer
or member and signature of duly authorized officer or member.
Name & Title: ________________________________________________________________
Name & Title: ________________________________________________________________
LOCATION OF PROPERTY TO BE DEMOLISHED:
(give street name, number, side and distance from nearest cross street)
The undersigned hereby affirms or swears that the above information is current and true as of
the date of this application.
_________________________________ ___________________________________
Signature of Owner Signature of Applicant
Sworn or affirmed to before me this ____ day of ___________________, 20___.
_____________________________
Notary Public
NOTE: ALL INFORMATION REQUESTED IN THIS FORM MUST BE COMPLETED FOR THIS FORM
TO BE PROCESSED.
FOR TOWN ONLY
APPROVED BY: _____________________________________ DATE: __________________
