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2. VACANT BUILDING PERMIT APPLICATION

   Le Mars Downtown Historic District

   THIS IS NOT THE BUILDING PERMIT.  Please allow three (3) business days for review and processing of permit.                Fee - $50.00

4. Date:
   Date:
6. Vacant Building Address:*
8. Property Owner Name:*
9. Primary Phone Number:*
11. Address:*
13. City:*
14. State:
15. Zip:
17. Are you the primary contact for this vacant building?*

    1. Yes
    2. No
18. If no, who is primary contact?
20. Primary Contact Person:
21. Primary Phone Number:
23. Address:
25. City:
26. State:
27. Zip:
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field