Utility Site Modification or New Pole Installation Inquiry

UTILITY EXEMPTION REVIEW

Use this form to request a Tower Review Committee review for utility exemption regarding a specific utility structure or site property.

Please allow up to 10 business days for a response to your inquiry.

Note: The County is not responsible for determining property ownership.

Fields marked with an asterisk are required.

SITE ACQUISITION OR DEVELOPMENT COORDINATOR INFORMATION

Coordinator Name

First Name

Last Name

Office Phone Number

Phone Extension

Cell Phone Number

Mailing Address

Address

Address 2

City

State

ZIP Code

Property Owner Information

Owner's Name

First Name

Last Name

Owner's Mailing Address

Address

Address 2

City

State

ZIP Code

Contact Name

First Name

Last Name

Contact Office Phone Number

Contact Phone Extension

Contact Cell Phone Number

Contact Email

Utility Structure Owner Information

Check the box if applicable:

Property owner is also the sole owner of the associated utility structure (if checked, continue to next section)

The associated utility structure or an attachment is owned by a WSP

The associated utility structure or an attachment has other non-WSP ownership

Company Name

Company Mailing Address

Address

Address 2

City

State

ZIP Code

Contact Name

First Name

Last Name

Contact Office Phone Number

Contact Phone Extension

Contact Cell Phone Number

Contact Email

Site Location Information

Site Name, if applicable

Site Number, if applicable

Baltimore County Site Name, if applicable

County Parcel ID Number

Property Address

Address

Address 2

Nearest Intersection

Raw Land

Yes

Latitude

Longitude

Describe Your Project

Contact

Office of Information Technology

Historic Courthouse
Room 33
400 Washington Avenue
Towson, Maryland 21204

Hours

Monday through Friday
8:30 a.m. to 4:30 p.m.

Email

celltower@baltimorecountymd.gov

Phone

410-887-2441