You are on page 1of 1

Demolition Permit

Antwerp Township, Lawton Village & Mattawan Village


Application fee: $5.00

This application is for the removal of _______________________________________________


located at ___________________________________________________________ and owned
by _________________________________________________________________.

Contractor Information:
Name: ________________________________________
Address: ______________________________________ City: ___________________________
Zip Code: ___________________________ Phone: ___________________________________

Property Number: 80-________-__________-__________-________


Tax Plate Number: ________________________________________

____________________________________________________
Signature of Applicant

________________________
Date

For Office Use:

Application Fee Paid: _________________


Date Paid: __________________

Check #/Cash ________________

You might also like