Skip to form

City of Stamford Environmental Protection Board

888 Washington Boulevard 7th Floor Stamford, CT 06901 United States

(203) 977-4028

SeamlessDocs

Form may look distorted however the printouts will be fine.

Electronic Submission of this form is not accepted.

Please print completed form and bring it in to the Environmental Protection Board at 888 Washington Blvd.

Thank you.
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.

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