Neighborhood & Housing Services Department
sa.Gov Home
>
NHSD
>
COSA Fee Waiver Program Application Form
> Step 2
*Required Fields
COSA FEE WAIVER REQUEST FORM
APPLICATION INFORMATION
*
Project Owner:
Please choose the program that applies to your application:
*
Project Type:
Owner Occupied Repair/Rehab (Existing Homeowners)
Affordable Housing Development
Historic Rehabilitation (Residential or Commercial)
Small Business
Applicant/Point of Contact:
Applicant will be the point of contact on all issues and questions concerning this appliation and project.
*
Project Role:
Developer
Contractor
Homeowner
Business Owner/Developer
Other
*
Applicant Name:
*
Title:
Company Name:
*
Street Address:
*
City:
*
State:
*
Zip Code:
*
Phone#:
Fax#:
*
Email:
Step 2 of 4
