Skip to form
Document Signers
    • 1 Applicant Signature

SeamlessDocs

This is an application for a City of Lafayette water permit.

If you are not the deeded owner or authorized agent please make sure to have the deeded owner or authorized agent submit a seperate owner authorization form.

Please include all attachments at once. Once you click submit/accept you will not be able to attach any more documents. You may also submit attachments to permits@lafayette.in.gov.

After a complete submission and review we will contact you with further instructions including payment information. Please allow 5-10 business days prior to contacting our office.

Sincerely,

Engineering - Permits & Licenses
City of Lafayette
(765) 807-1050
permits@lafayette.in.gov
By continuing I agree that I am willing to complete a digital version of the document(s) and that information about my user session will be stored.
Signature HereClick to Sign
11/27/2020Click to Sign

Create Your Signature

Please fill in your name and email and then either draw or type your signature below.

x

Signature Type

Type Draw Upload Custom
Clear Signature

Signature will be applied to the page. You will have a chance to review after signing.

Check this box to continue

x

Additional Signatures Required

Plans/Misc. Click Here to Upload