1. Is this a one or two family residence?

Yes No

2. Will the floor plan of your house (including walls) remain the same?

Yes No

3. Will the cost of construction be under $25,000.

Yes No

Note: If you live in a Historical or Landmark District, you may continue to apply for this permit; however, approval will be necessary from the Urban Design Commission before this permit can be completed. Click here for further information on the Urban Design Commission.

Statement of Applicant:

4. I certify that all statements on this application are true to the best of my knowledge and that the work to be performed is authorized by the owner of this property. I, also certify that in order to obtain an online permit in lieu of my original signature for such online application, the following criteria and declaration shall be deemed equivalent and legally binding for all responsibilities as though such application had an original signature?

Yes No

Name:

Date: 11/8/2009 2:59:30 AM

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