< Floodplain Development - Long Form

Property Information

Contractor(s)

Floodplain Map Information

I certify that I am the owner or the authorized agent of the owner of the property upon which the work authorized by the permit sought will be performed. I further certify that the information given is true and correct to the best of my knowledge. All work will be performed in accordance with all applicable laws of the state of Pennsylvania and the Town of Bloomsburg.

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