APPEAL
APPLICATION FORM
CHECK TYPE OF REQUEST:
Appeal to City Council Appeal to the Development Permits and Appeals Board (DPAB)
Appeal of DPAB Decision $90 Decision of the Director $90 Denial of Building Permit $90
Code Interpretation $90 Denial of Architectural Review $90
ONE APPLICATION FORM FOR EACH REQUEST
ALL PERTINENT INFORMATION ON THIS FORM MUST BE COMPLETED
Application Date:
Reason for Application:
Applicant: Telephone:
Address: Email:
Signature: Print Name:
The signature of the applicant, if they are the property owner, signifies that they will represent themselves in this request to the City. All communications will be sent to the
applicant. If the applicant is not the property owner, the property owner information is needed and the property owner needs to sign this request. The signature of the
property owner acknowledges their awareness of the request being made on their behalf and authorizes the identified applicant to represent the owner in the request being
made to the City of Thornton.
Land Owner: Telephone:
(If the same as applicant-put “same”)
Address: Email:
Signature: Print Name:
Land Owner: Telephone:
(If the same as applicant-put “same”)
Address: Email:
Signature: Print Name:
NOTE – If there are more than two owners, a letter/letters containing their signatures must be attached to the application authorizing the applicant to act on behalf of the identified owner(s).
APPEAL APPLICATION FORM PAGE 1 OF 2 – BOTH PAGES REQUIRED
City of Thornton CITY DEVELOPMENT DEPARTMENT
9500 Civic Center Drive 303-538-7295
Thornton, CO 80229 developmentsubmittals@cityofthornton.net
click to sign
signature
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click to sign
signature
click to edit
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click to sign
signature
click to edit
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