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CODE ENFORCEMENT

ASSESSMENT PERMIT APPLICATION FOR MISCELLANEOUS STRUCTURES NOT REVIEWED UNDER THE UNIFORM CONSTRUCTION CODE

  • 1.

    Name of Applicant:

  • 2.

    Applicant’s Address:

  • 3.

    Owner Information:

    • A.

      Name:

    • B.

      Address.

  • 4.

    Contractor:

    • A.

      Name:

    • B.

      Address:

  • 5.

    Site Location Information (please provide a general description of where the work will

occur or attach a map):

6.

Description of Proposed Work:

  • 7.

    Estimated Cost for Proposed Work: $

  • 8.

    Provide a plan or sketch of the size and location of proposed construction as well as any

existing buildings or structure, with setback dimension.

Supp. I; added 10/9/2007

5-10

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