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Building Code Board of Appeals Application
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W10=
*
Applicant's name
*
Applicant's phone
*
Applicant's street address
*
Applicant's city
*
Applicant's state
*
Applicant's Zip Code
*
Name of agent
*
Agent's phone
*
Agent's street address
*
Agent's city
*
Agent's state
*
Agent's Zip Code
*
Property street address
*
Parcel or sidwell #
*
Reason for appeal
*
Date
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