Building

 

 

 

Missaukee County Building Department Phone (231) 839-7839 ext 306

105 S. Canal St., Fax (231) 839-7001

P.O. Box 800

Lake City, MI 49651

Robert DuVall, Building Inspector

NOTICE OF APPEAL TO THE MISSAUKEE COUNTY APPEALS BOARD

Appellant-Please complete the following: Date:____________________

Name_____________________________________________________________________

Street Address_______________________________________________P.O. Box___________________________

City:______________________________________________________Zip Code:____________________________

Home Phone(_____)__________________________ Work Phone(_____)____________________________

Property Address______________________________________________________________________________

Twp:_________________________________ Property Tax #: 57-______-______-______-______

Applicants Signature:________________________________________________________________________

The appellant respectfully petitions the following request.

PLEASE BE SPECIFIC.

(Attach extra sheet if necessary)._____________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

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The appeal was ________Granted________Denied for the following reasons________Modified as indicated

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Dated________________________

Signed________________________________________________________________

Housing Appeals Board