Fillable APPEAL FROM THE DECISION OF THE BUILDING OFFICIAL (City of Providence)

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APPEAL FROM THE DECISION OF THE BUILDING OFFICIAL (City of Providence)

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The APPEAL FROM THE DECISION OF THE BUILDING OFFICIAL (City of Providence) form is 2 pages long and contains:

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  • 45 other fields

Country of origin: US
File type: PDF

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1
CITY OF PROVIDENCE
BUILDING BOARD OF REVIEW
APPEAL FROM THE DECISION OF THE BUILDING OFFICIAL
DEPARTMENT OF INSPECTION AND STANDARDS
Date:
To the Building Board of Review:
The undersigned hereby appeals from the decision of the Building Official of the Department of Inspection
and Standards dated ________________, affecting the following described premises as are hereinafter set
forth.
Owner(s):
Telephone:
Address:
Zip Code:
Appellant(s):
Telephone:
Address:
Zip Code:
Location of premises:
Assessor’s Plat(s):
Lot(s):
3.
Dimensions:
Lot #:
Frontage:
Depth:
Area:
sq.ft.
Lot #:
Frontage:
Depth:
Area:
sq.ft.
Lot #:
Frontage:
Depth:
Area:
sq.ft.
Zoning District(s) in which premises are located:
Are premises located within: (check one)
Historical District
Downtown Overlay District
Capital Center District
How long have you owned the subject premises:
Type of Construction:
Size of existing building(s):
9.
Size of proposed building(s):
10.
Present use of premises:
11.
Proposed use of premises:
12.
Give extent of proposed construction or alterations:
2
Attached hereto is a copy of the decision rendered by the Building Official of the
Department of Inspection and Standards.
13.
Grounds for appeal:
14.
Proof of active insurance of property is required for an appeal of demolition or unsafe order.
Respectfully submitted,
Signature(s) of Property Owner(s):
Signature(s) of Appellant(s)
Address:
Address:
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APPEAL FROM THE DECISION OF THE BUILDING OFFICIAL (City of Providence)

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Completed 14 July 2020

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