1. Is this a commercial or multi-family structure?

Yes No

2. Will there be an addition to the existring structure?

Yes No

3. Will there be a conversion of the existing use?

Yes No

Note: Based on the current zoning, the proposed project might be subject to approvals by other agencies (Urban Design, Planning). You will be contacted by the Bureau of Buildings with additional instruction.

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: 11/21/2009 4:15:25 AM

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