Millersburg, PA · Dauphin County

No notary required

Floodplain Permit Application

Property owners and applicants use this application to provide project, property, contact, and construction details for floodplain development in Millersburg.

What this form is

This application collects information about a proposed development and its location, including whether the property is within a floodplain. It asks for owner and applicant contact details, the proposed and existing uses, development activities, structure type, construction data, and information such as the flood zone and FIRM panel. The form also includes fields for an applicant signature and date and for city office use.

Who needs it

Applicants seeking a floodplain permit in Millersburg can use this form to describe the property and proposed development.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This application is signed and dated without a notary; the form does not mention a notarized or sworn attachment.

How to submit this form

  1. 1

    Download The Application

    Download the Floodplain Permit Application PDF.

  2. 2

    Complete The Form

    Fill in the property, contact, work description, structure, and construction information requested.

  3. 3

    Gather Attachments

    The form mentions an elevation certificate and a no-rise certificate; check whether either applies to your project.

  4. 4

    Submit To The City

    Submit the completed application to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What information does the Floodplain Permit Application request?
It requests property and contact information, proposed and existing uses, development activities, structure type, construction data, and floodplain details such as the flood zone and FIRM panel.
Who uses the Millersburg Floodplain Permit Application?
Applicants seeking a floodplain permit can use the form to provide details about the property and proposed development.
Do I need a notary for the Floodplain Permit Application?
No. This application is signed and dated without a notary, and it does not mention a notarized or sworn attachment.
How do I submit the Floodplain Permit Application?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Floodplain Permit Application doesn’t need a notary — but if you have another Millersburg form that does, a commissioned online notary can help.