Brownfield Submission Program Application – The Redevelopment Authority of the County of Bucks

Site Name

Tax Parcel #

Tax Parcel ID may be Looked up at www.bucksgis.maps.arcgis.com

Municipality

Property Address

Street Address Address Line 2 City Zip

Is the Property Publicly or Privately Owned?(Required)

Publicly Owned

Privately Owned

Unknown

Do You Have Any of the Following Property Details

Property Owner Name

Property Owner Mailing Address

Property Owner Phone

Property Owner Email

Property Owner Name

Public Owner Name or Municipality

Property Owner Mailing Address

Street Address Address Line 2 City State Zip

Property Owner Phone

Property Owner Email Address

Is Property Owned by Multiple Individuals?

No

Yes

Additional Property Owner(s) Name

Are you submitting on behalf of a Municipality or Individual?(Required)

Municipality

Individual

Did you wish to receive future updates or notices on this Brownfield Submission?

Yes

No

Municipality

Name

First Last

Email

Phone

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