UNIFORM CONSTRUCTION CODE (UCC) ACCESSIBILITY ADVISORY BOARD PETITION

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UNIFORM CONSTRUCTION CODE (UCC) ACCESSIBILITY ADVISORY BOARD PETITION

This form may be used to file an appeal, seek a variance or an extension of time. When variances are requested, as many variances as needed may be sought via this petition. Once this petition has been submitted, no changes may be made, and any additional variance requests must be filed via a separate (new) petition. Type or print legibly all requested information.

Today's Date(Required)

Construction Site

Building or Structure Name

Tenant Name

Street Number and Name(Required)

Street Address City State / Province / Region ZIP / Postal Code

Political Subdivision(Required)

County(Required)

Applicant or Contact Person

Contact Person(Required)

Company Name

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Phone(Required)

Fax

Email(Required)

Property Owner

Same as the applicant

Owner Name(Required)

Owner Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Owner Phone(Required)

Code Information

Construction involves New Building

2015

2018

Construction involves Existing Building

2015

2018

Supporting Documents

Drop files here or

Accepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 1 GB.

Invoice & Payment

Where should we send the invoice?(Required)

Enter the name and the mailing address or email address the invoice should go to. Payment can be made by check (mailed or dropped off at our office) or by card.