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Electronic Application


UNDER PENALTY OF INTENTIONAL MISREPRESENTATION AND/OR PERJURY, I declare that I have examined and/or made this application and it is true and correct to the best of my knowledge and belief. I agree to perform the operation as described in compliance with all provisions of the applicable ordinances. (If applicable) I have been given authorization from the property owner to obtain this permit. I realize that the information that I have affirmed hereon forms a basis for the issuance of the permit herein applied for and approval of the operation in connection therewith shall be construed to permit any operation upon said premises or use thereof in violation of any applicable ordinance or to excuse the owner or his or her successors in title from complying therewith.

Applicant's Signature

I understand that by applying for this permit, I am consenting to the inspection of this property and to the entry onto the property by inspectors of the authority having jurisdiction for the purpose of performing inspections for compliance with the conditional permit and the provisions of the 2012 International Fire Code for the Duration of the permit.

Owner's Signature