Request for Appeal Form

I am the registered owner of the property or I am the person named on the Order/Decision Notice

I have reviewed the “Authorized Representative” section of this request and I understand if I do not complete this portion I will be unable make changes on the date of hearing

I acknowledge that if I fail to appear and to remain at my scheduled hearing until my matter has been determined by the Appeal Committee, I will be deemed to have abandoned my request for a hearing, the Order/Decision will be affirmed, I may be liable for an additional fee for having failed to appear and understand that if the affirmed penalty and fees are not paid to the County within the time frame set out in the by-law the balance may be added to the property tax account and/or referred to collections

I have read and understand the conditions of this application.

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Request for Appeal

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Notice Information (Order/Decision)

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