Forms

Building Department
Building Accessory Structure Restrictions Affidavit of Assurances Affidavit of Exemption form Kentucky Workers' Comp Act (Corporate or Partnership) Affidavit of Exemption form Kentucky Workers' Comp Act Individual Building Cross Section Building Permit Application- Commercial Building Permit Application - Residential Homeowner's Building Waiver	HVAC Homeowner's HVAC Waiver HVAC Commercial Application HVAC Residential Application Swimming Pool Enclosure Requirements

Electric Commercial Electrical Permit Residential Electrical Permit Five-Day Letter Homeowners Electrical Waiver	Other Demolition Fire Detection Permit Application Fire Suppression Permit Application Fireworks (Consumer Sales) Permit Application Portable Storage Unit or Dumpster Permit Application Sign Ordinance Sign Permit Application Special Festival Permit Application

Code Enforcement
Special Situation Permit

City Clerk / Treasurer
Open Records Request	Vendor Application Form

Economic Development
Property Tax Reassessment Moratorium Application

Farmers Market
2022 Farmers Market Application

Parks & Recreation
2 022 Plainview Swim Center Season Pass Application (Payment can be made at the gate.)

Planning & Zoning
2021 Land and Development Code	Fee Schedule
Appeal Application and Checklist	General Waiver Application
Conditional Use Permit Pre-Application	Landscaping and Tree Preservation Application
Conditional Use Permit Application and Checklist	Nonconforming Rights Application
Development Plan Submittal Requirements	Variance Application and Checklist
Development Review Application	Zoning Confirmation Application

Police Department
Business Alarm Application Permit Form	Residential Alarm Permit Form

Public Works
Public Right-of-Way (Work Within) Application (Encroachment)	Rules and Regulations Governing Objects to be Placed in the Right-of-Way
Residential Driveway / Connection Application	Objects in the Right-of-Way Permit Application
	Objects in the Right-of-Way Maintenance Agreement


Rental Facilities
The Jeffersonian Rental Agreement	Tway House - Plainview
The Jeffersonian Set up Request Form - Watterson and/or Jefferson Room	Veteran's Park Pavilion Rental Agreement


Revenue / Tax Department
Business License Registration	Form B - Annual Tax Refund Application
Quarterly Occupational Withholding Tax Return	Tax Ordinance No. 1233, Series 2008
Annual Reconciliation Return	Understanding Your City of Jeffersontown Property Tax
Form A - Quarterly Tax Refund Application

Forms

Building Department

Building

HVAC

Electric

Other

Planning & Zoning

Police Department

Revenue / Tax Department