HomeMy WebLinkAboutState Building Code Apeals Board 6/30/26 13c ion .Q, a,,i
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I, Pu V iS {') Fa -reL ,as 0 o e it l 1-t41 rI H CAS/71 r°i/ 1) for the
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Appellant/Petitioner 1 U R\1) S 1-1 I P-TC� (I-10V` 1-I°SIB filed an appeal with the State
Building Code Appeals Board on D R. C ( m h `' / .2 Sl-k 20 5
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
1 I l rn SeOV ("3r) C 'eYtir e cQ
D eP V 1 RU ,\ CQ ) 03 Com w ss \o n i V
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Signature:Appellant or Petitioner
On the 2 911‘. Day of Pe C.e rn h 20 ,25 PERSONALLY APPEARED
BEFORE ME THE ABOVE NAMED ?URVici-1 POT(-L
(Type or Print the Name of the Appellant)
AND ACKNOWLEDGED AND SWORE THE ABOVE STATEMENTS TO BE TRUE.
/ I
41L«i.: i, ' �/ Bill_ 3� /(9001-60
NOTARY PUBLIC , MY COMMISSION EXPIRES
SHEENA M.STEAGALD
Notary Public-New Hampshire
My Commission Expires Jun 30,2026 7