"Nova Scotia Building Advisory Committee Hearing Application Form" - Nova Scotia, Canada

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IN THE MATTER OF: The Building Code Act, Chapter 3, Statutes of Nova Scotia, 1986
- and -
IN THE MATTER OF: An Application to the Nova Scotia Building Advisory Committee
APPLICATION
(Please Print)
This is an Application to the Nova Scotia Building Advisory Committee pursuant to Section 15 of the Building Code
Act for a ruling on a dispute between ____________________________________________________________
(owner or owner’s agent)
and __________________________________________________________________ for the municipality of
(Building Official)
__________________________________________________________________ respecting:
(Municipality)
Check one of the following:
G the following technical requirement(s) of the Building Code, or
G the sufficiency of compliance with the following requirement(s) of the Building Code, or
G the following order made by the Building Official: (include a copy of any written order or decision of Building
Official)
(if additional space is required, attach separate page)
Check procedure agreed upon, (if applicable):
G oral submission
G written submission
G oral and written submissions
DATED at ______________________________ this ______ day of ______________________________, 20___.
Municipality
Month
Applicant (Print Name)
A COPY OF THIS APPLICATION
AND ALL ATTACHMENTS AND
Signature of Applicant
CORRESPONDENCE ARE TO BE
PROVIDED TO THE BUILDING
Whose address for service is:
OFFICIAL BY THE APPLICANT.
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
phone:
fax:
IN THE MATTER OF: The Building Code Act, Chapter 3, Statutes of Nova Scotia, 1986
- and -
IN THE MATTER OF: An Application to the Nova Scotia Building Advisory Committee
APPLICATION
(Please Print)
This is an Application to the Nova Scotia Building Advisory Committee pursuant to Section 15 of the Building Code
Act for a ruling on a dispute between ____________________________________________________________
(owner or owner’s agent)
and __________________________________________________________________ for the municipality of
(Building Official)
__________________________________________________________________ respecting:
(Municipality)
Check one of the following:
G the following technical requirement(s) of the Building Code, or
G the sufficiency of compliance with the following requirement(s) of the Building Code, or
G the following order made by the Building Official: (include a copy of any written order or decision of Building
Official)
(if additional space is required, attach separate page)
Check procedure agreed upon, (if applicable):
G oral submission
G written submission
G oral and written submissions
DATED at ______________________________ this ______ day of ______________________________, 20___.
Municipality
Month
Applicant (Print Name)
A COPY OF THIS APPLICATION
AND ALL ATTACHMENTS AND
Signature of Applicant
CORRESPONDENCE ARE TO BE
PROVIDED TO THE BUILDING
Whose address for service is:
OFFICIAL BY THE APPLICANT.
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
phone:
fax: