Important Information

  • Filing fee, review fee, three (3) copies of required reports and six (6) sets of drawings must accompany application
  • Applicant is required to submit plans and drawings to the Luzerne County Planning Commission for review
  • For additional sites and/or owners, complete and submit additional applications
  • Complete and submit narrative as necessary

Please complete and submit the form below. You may also download the form as a PDF and email it to