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
Plainview Day Passes
 

Planning & Zoning

2021 Land Development CodeFee Schedule 
Appeal Application and ChecklistGeneral 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 / Residential  Alarm Application 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 ApplicationObjects 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 RegistrationForm B - Annual Tax Refund Application
Quarterly Occupational Withholding Tax ReturnTax Ordinance No. 1233, Series 2008
Annual Reconciliation ReturnUnderstanding Your City of Jeffersontown Property Tax
Form A - Quarterly Tax Refund Application