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2. 

3. This is a appeal form for business owners to use if wanting to appeal a violation noted in an inspection. You will be asked to describe the violation noted by the inspector and note your reason for appealing the inspector's interpretation of the Newton Code of Ordinances. There is a place to attach additional documents, such as pictures or independent reviews. This appeal will be sent to the City of Newton Building & Trades Board for a ruling.

5. APPEAL DATE FILED:*
   APPEAL DATE FILED:
7. PROPERTY ADDRESS:
9. BUSINESS NAME:
11. OWNER NAME:
13. OWNER TELEPHONE:
14. OWNER EMAIL:
16. REPRESENTATIVE NAME:*
18. REPRESENTATIVE TELEPHONE: *
19. REPRESENTATIVE EMAIL:*
21. Is the property currently occupied?

    1. Yes
    2. No
23. DATE LAST INSPECTED:
    DATE LAST INSPECTED:
25. VIOLATION BEING APPEALED

    Please describe the violation noted by the inspector and your reasons for appealing the inspector's interpretation of the Newton Code of Ordinances.

26. Upload additional documents here:

    Please upload any additional documents, such as pictures or independent reviews here.

28. Certification and Electronic Signature
    By clicking I agree below, I understand that this appeal will be sent to the City of Newton Building and Trades Board for a ruling. I understand that I am expected to comply with this ruling. If I am unsatisfied with this ruling, I can request a hearing and ruling by the City of Newton City Council. These hearings and rulings are not intended to debate changes to the Newton Code of Ordinances, but rather to provide a ruling or interpretation of existing code.
30. Also by clicking I agree below, you agree and acknowledge that 1) Your application will not be "Signed" in the sense of a traditional paper document and 2) By signing in this alternate manner, you agree that your electronic signature is valid and binding upon you to the same force and effect as a handwritten signature and 3) You hereby certify that you have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction.
32. Do you agree?*

    1. I agree
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit Submit and Print

* indicates a required field