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Assessment Report Form

Instructions to Applicants/Municipality:

Application must be fully completed before submitting.
If parcel number or legal description is unknown, contact Mapping & Platting at 618-277-6600.
You will be presented with a confirmation page upon submission. Please print the confirmation page for your records.

Parcel Information
Legal Description of Parcel (Lot, block, and subdivision):
Owner Information:
Owner Address:
Site Address:
Contractor Information:
Contractor Address:
Proposed Improvement (check applicable items):
New Building 
Addition or alteration (explain):  
Other (explain):  
Brick
Frame
Metal
Proposed Use of Structure (check applicable items)
Residential
   Single Family
   2 or 3 Family
   Multi-Family
Misc.
   Garage
   Carport
   Storage Shed
   Other
Business / Commercial

Industrial
Other (Fully Explain)
Municipality Address
Resident Resources
Business Resources
Attorney Resources
Service Resources

I Want To…

Adopt a Pet
Get A Copy of My Deed
Pay A Ticket or Court Payment
Meetings & Agendas
Get Help With My Bills
Pay Real Estate Taxes
Find My Board Member
Get Married
Protest My Tax Assessment
Find Out About Jury Duty
Register to Vote
Get A Building Permit
Get a Birth, Death or Marriage Certificate
Start A Business
Get Vaccinated