Request For Property Maintenance Appeal Form printable pdf download

Request For Property Maintenance Appeal Form

City of Big Rapids

Department of Neighborhood Services

Request for Property Maintenance Appeal

Date: ______________

ADDRESS OF SUBJECT PROPERTY:_______________________________________

Owner Name:____________________________________________________________

Owner Address:__________________________________________________________

Owner Phone Number: _________________________

Violation Appealed:_______________________________________________________

I hereby request a variance from or modification to the Property Maintenance Code

violation order issued to the above described property on the following grounds:

________________________________________________________________________

The above is an application to be forwarded to the Property Maintenance Board of

Appeals. By my signature I indicate my understanding that a hearing will be conducted to

consider my request. I further understand that it is my responsibility to present any and

all information pertinent to my request when called upon to do so.

_______________________________________

Applicant Signature

THE DEPARTMENT OF NEIGHBORHOOD SERVICES WILL NOTIFY YOU OF

THE DATE AND TIME OF THE PROPERTY MAINTENANCE BOARD OF

APPEALS HEARING APPROXIMATELY ONE WEEK PRIOR TO SAID MEETING

Request For Property Maintenance Appeal Form