CITY OF WEST LIBERTY
409 N. Calhoun Street - West Liberty, IA 52776 Phone: (319)627-2418 Fax: (319)627-4847
DEMOLITION PERMIT APPLICATION
Application Date
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Month
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Day
Year
Permit Issuance Date
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Month
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Day
Year
Site Address
Dimensions of Building
Use of Building
Number of Stories
Number of Dwelling Units
Frame Type (e.g., masonry; wood; steel)
Disposal site for demolition materials
List and hazardous materials known to be on the site, ie. asbestos, underground tanks, etc. and specify abatement plans and abatement contractor
Applicant
Address
City
State
Zip
Work Phone
Home Phone
Owner
Address
City
State
Zip
Work Phone
Home Phone
Contact Person
What is owners intended future use:
Preview PDF
Submit
Should be Empty: