Benton County
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Planning Project Application Form
Please fill out this form completely; incomplete applications will not be accepted.
 

project information

Project Name*  
Project Type*  
Proposed Use*  
Project Description*  

property information

Site Address*  
 (if unknown, use parcel number)
Subdivision Name*  
Acreage*  
Closest Postal Address*  
 (Street Address, City)

consultant information

Consultant*  
Business Name*  
Address*  
Phone Number*      
Fax Number*      
E-mail Address*  

owner information

Owner Name*  
Address*  
Phone Number*      
E-mail Address*  

certifying statement

By submitting this form, I certify that the foregoing statements and answers herein made all data, information, and evidence herewith submitted are in all respects, to the best of my knowledge and belief, true and correct. I understand that submittal of incorrect or false information is grounds for invalidation of application completeness, determination, or approval. I understand that Benton County might not approve what I am applying for, or might set  conditions on approval.

 


Required fields are denoted by an asterisk (*).


County Planning
905 N.W. 8th Street
Bentonville, AR 72712

Ph. (479) 271-1003