Housing and Community Development Department

Appeals Request Form


Name:

Property Address:

Mailing Address (if different from above):

Phone:

Application Number (if available):

 

Reason for Appeal ...


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I certify that the information included on this form is true and accurate to the best of my knowledge. I hereby agree to participate in the HCDD’s Appeal process. I understand that an application for an appeal does not guarantee an overturned decision. Please check this box -->


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