UNIFORM CONSTRUCTION CODE (UCC) ACCESSIBILITY ADVISORY BOARD PETITION

This form may be used to file an appeal, seek a variance or an extension of time. When variances are requested, as many variances as needed may be sought via this petition. Once this petition has been submitted, no changes may be made, and any additional variance requests must be filed via a separate (new) petition. Type or print legibly all requested information.

Construction Site

Building or Structure Name

Tenant Name

Street Number and Name

Street Address City State / Province / Region ZIP / Postal Code

Political Subdivision

County

Applicant or Contact Person

Contact Person(Required)

Company Name

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Phone(Required)

Fax

Email(Required)

Code Information

Construction involves New Building

2015

2018

Construction involves Existing Building

2015

2018

Supporting Documents

Drop files here or

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