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Environmental Site Assessment Information Application

  1. Logo Address
  2. Environmental Site Assessment Information Application - $30 Application Fee

    Notice of City Response Time:  Following fee payment, the City of Portage will make every effort to respond to this request within five (5) business days after receiving it. However, be advised that the response may require a 10-business day extension. 

  3. Contact Information
  4. Address of Subject Property
  5. Information Requested (select all that apply)
  6. Fire:
  7. Assessor:
  8. Planning & Zoning:
  9. Building:
  10. Utilities:
  11. Transportation:
  12. Delivery Method*
  13. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  14. Leave This Blank:

  15. This field is not part of the form submission.