HomeMy WebLinkAboutState Building Code Appeals Board 7/23/24 a .'} g FT r tr
JUL AO
at=i=AFt fMEiNT STATE BUILDING CODE APPEALS BOARD
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`"` Service Notice
I, ',' 904 G C:2- ��eR ,as for the
Cppellan'Petitioner filed an appeal with the State
Building Code Appeals Board on 17.ci•t.Y Z 20 21S,
AND DO HEREBY SWEAR, UNDER THE PAINS AND PENALTIES OF PERJURY, THAT IN
ACCORDANCE WITH THE PROCEDURES ADOPTED BY THE STATE BOARD OF BUILDING
REGULATIONS AND STANDARDS AND SECTIONS 113 AND\OR 113R OF THE STATE BUILDING
CODE, I SERVED OR CAUSED TO BE SERVED, A COPY OF THIS APPEAL APPLICATION ON THE
FOLLOWING PERSON(S) IN THE FOLLOWING MANNER:
NAME AND ADDRESS OF METHOD OF DATE OF
PERSON OR AGENCY SERVED SERVICE SERVICE
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Signature:Appellant or Petitioner
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On the Day of lT Gt y 20 -2 y PERSONALLY APPEARED
BEFORE ME THE ABOVE NAMED �c�'9� CiT�Fs�'
(Type or Print the Name of the Appellant)
AND ACKNOWLEDGED AND SWORE THE ABOVE STATEMENTS TO BE TRUE.
•
N ARY PUBLIC 0;.< ELIZABETH JOHNSON MY COMMISSIONCEXPIRES
Notary Pubftc
Commatwe iit of Mas3ixaes
MyCommission ExptesFe 14.2025 7