Fillable Use Appeal Application Land (State of Oregon)

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Use Appeal Application Land (State of Oregon)

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File type: PDF

U.S.A. forms for State of Oregon

BROWSE STATE OF OREGON (OR) FORMS

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Land Use Appeal Application 6/8/20
Land
Use Appeal Application
Date Received: __________
Date Complete: __________
File Number: __________
Application Fee $: __________
Receipt #: __________
Hearing Date: __________
1. APPELLANT
Name:
Street Address: City: State: Zip Code:
E-mail Address:
Phone Number:
Signature: Date:
2. APPELLANT’S REPRESENTATIVE (or Professional to be contacted regarding matters on this
application, if other
than appellant listed above)
Name:
Street Address: City: State: Zip Code:
E-mail Address:
Signature: Date:
3. GENERAL DATA REQUIRED
Case Number Being Appealed: Decision Date:
Notice Mailing Date:
Address of Subject Property:
4. REASON FOR APPEAL –Briefly summarizing the reason for the Appeal. (Attach a letter if needed.)
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Use Appeal Application Land (State of Oregon)

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Completed 28 January 2021

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