APPLICATION
Georgetown-Scott County Planning Commission
| Project Name |
| Type of Application |
| Date App. Complete | Required Fee | Date Fee Paid |
|
Contact: |
Owner: |
| address: | address: |
| phone: | phone: |
| email: | email: |
| Consultant: |
| firm: |
| address: |
| phone: |
| email: |
Project Description
(type project, # units or sq. ft., acres):
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Project Location: _____________________________________________________________________________________________
Utility Providers:
Other Reviewers:
(check all that
apply)
(to be filled out by P & Z)
| _______ A T & T | _______ Health Department |
| _______ Georgetown Municipal Water and Sewer | _______ KYTC District #7 |
| _______ Kentucky American Water | _______ Soil Conservation |
| _______ Kentucky Utilities | _______ City Fire Dept. |
| _______ Owen Electric (Owen County RECC) | _______ County Fire Dept. |
| _______ Bluegrass Energy (Harrison County RECC) | _______ City Road Dept. |
| _______ Columbia Gas | _______ County Road Dept. |
| _______ Stamping Ground Water and Sewer | _______ City Engineer |
| _______ Delaplain Disposal | _______ City Police |
| _______ Emergency Management Services | |
| _______ Time Warner Cable | |
| _______ Building Inspection |