West Jefferson Levee District Permit Application – Southeast Louisiana Flood Protection Authority-West

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504.340.0318

Southeast Louisiana Flood Protection Authority – West Jefferson Levee District Permit Application

Please provide all applicable information to begin the permit process:

First Name *

Last Name *

Phone Number *

Email Address *

Agent Name If Applicable:

First NameAgent Name

Last Name

Phone NumberAgent Phone Number

Email AddressAgent Email Address

Address of Work Location

Street Address *

Apartment, suite, etc

City

ZIP / Postal Code

Billing Address (If not the same as Work Location Address)

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Full Description *Please provide a full description of the proposed work and include any documents available in accordance with the application instructions. Please provide Length x Width x Depth of all excavations. *

Excavation Dimensions (in Feet)

Length *

Width *

Depth *

Project Timeline

Please provide approximate Start and End dates for the permitted work.

Start Date *

End Date *

File Upload

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504.340.0318
info@slfpaw.org

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Southeast Louisiana Flood Protection Authority-West. All rights reserved.