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2. Property Information
4. 911 Property Address*
5. Permit #*
7. Property Owner*
8. Owner is Applicant*

   1. Yes
   2. No
10. Contact Name*
11. Email
13. Mailing Information*
14. Phone Number*
16. Agent Information (If Different From Property Owner)
18. Name
19. Email
21. Mailing Address
22. Phone
24. Additional Required Information
26. Check the box below that corresponds with your request. Payment ($100) must be received before we can process your application:*
    -- Select One --The code was incorrectly interpreted The provisions of the code do not fully applyAn equally good or better form of construction exists
28. What code sections affected by this request:*
30. Describe in detail the reason for the request. Attach an additional document/paper if necessary.*
32. Attach a copy of the INSPECTION SHEET AND/OR DOCUMENT THAT WAS DENIED.
34. Attach Document(s) Here:
36. Property Owner / Agent Acknowledgement

    In signing this application, the applicant acknowledges all information provided is complete and accurate. The applicant also agrees to abide by the regulations of the Branson Municipal Code.

38. Property Owner Signature*
39. Print Name*
40. Date*
42. Agent Original Signature
43. Print Name
44. Date
Leave This Blank:


46. 1. Receive an email copy of this form.
47. Email address

    This field is not part of the form submission.

48. Submit

* indicates a required field