PROPERTY INFORMATION
Street Address:
City:
State:
Zip Code:
Is the property historic or located in a historic district:
Check Middletown's Historic Properties list or call the Planning Dept at 860-344-3425.
What Zone is the property located in:
Check Zoning map or call the Planning Dept. at 860-344-3425.
Tax Assessor's Map/Block/Lot Number: Map Block Lot
Call the Tax Assessor at 860-344-3454.
PROJECT INFORMATION
Please Select type of review:
Please provide a detailed description of your project:
CONTACT INFORMATION
Applicant Information
Name:
Company:
Street Address:
City:
State:
Zip Code:
Tel.:
Fax.:
Email:
Agent Information
Name:
Company:
Street Address:
City:
State:
Zip Code:
Tel.:
Fax.:
Email:
Owner Information
Name:
Company:
Street Address:
City:
State:
Zip Code:
Tel.:
Fax.:
Email:
