Type Full Name :
Sign With Hand
Structure Type
Clearing
Firm Map #
Drainage Improvements (Including Culvert Work)
Watercourse Alteration (Including Dredging and Channel Modifications)
Certification
Map Effective Date
Other: (Please Specify)
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
https://www.cockecountytn.gov/
Inside Reg. Floodplain Limits?
Phone #
Fencing
Land ($)
ZIP
Name
Description
Address
City
Applicant Information
Property Owner Information
Email
Relation to owner?
Name
Email
Subdivision (New or Expansion)
Individual Water or Sewer System/Septic
Structure ($)
Project Overview
Applicant same as owner?
ZIP
Signature
Road, Street or Bridge Construction
Fill
Grading
Mining
I understand that the issuance of this permit Is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of the Cocke County Floodplain ordinance and all other laws or ordinances affecting the proposed development.
Drilling
{[PNAME]}
Estimated Cost of Project
Phone #
Excavation (Except for Structural Development Checked Above)
Attachments
Activity
Provide an estimate of the total cost of building improvements using qualified labor and materials obtained at market prices:
Project Address
Structural Development
Other Development Activities
State
Provide an estimate of the current market value of the property:
Type of Development
Address
Zone
Location Information
Parcel #
City
State