Use Occupancy Permit Baltimore City PDF Form - FormsPal

Use Occupancy Permit Baltimore City PDF Details

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Question	Answer
Form Name	Use Occupancy Permit Baltimore City
Form Length	3 pages
Fillable?	Yes
Fillable fields	53
Avg. time to fill out	11 min 21 sec
Other names	use occupancy baltimore get, use and occupancy permit baltimore, use of occupancy permit baltimore, use and occupancy permit baltimore city

12

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Ward	MAYOR AND CITY COUNCIL OF BALTIMORE	Permit No.
Sec	DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT	Dist No.
Blk	CONSTRUCTION AND BUILDINGS INSPECTION DIVISION	Date Issued
Lot	417 E. Fayette Street, Rm 100, Baltimore, MD 21202	Minor Pr. No.

USE AND OCCUPANCY PERMIT APPLICATION

FILING FEE MUST BE SUBMITTED WITH APPLICATION

$25 FILING FEE FOR RESIDENTIAL PROPERTY $50 FILING FEE FOR COMMERCIAL PROPERTY

Official Designation: ______________________________________________________________________________________________________

DO NOT WRITE ABOVE THIS LINE

PROPERTY ADDRESS
K/A
OWNER	ADDRESS	PHONE
CORP. OWNER/LOCAL AGENT	ADDRESS	PHONE
LESSEE	ADDRESS	PHONE
	DESCRIPTION OF USE
	(PLEASE BE SPECIFIC)

BUILDING FULLY SPRINKLERED 5YES 5NO

EXISTING USE(S)

PROPOSED USE(S)

The owner of the above property hereby has approved this application and agrees to comply with all ordinances of the Mayor and City Council of Baltimore and to do no work and/or allow no use not specifically covered by this application.

I declare under penalties of perjury that:

♣I am the owner or have specific approval of the owner to act as agent for this application.

♣I have examined this application, including all accompanying plans, specifications, etc., and, to the best of my knowledge and belief, the application is a true, correct, and complete statement of

the work to be done under it.

♣All information given by me in connection with this application is true and correct.

SIGNED: _______________________________________________________________________________ DATE: _______________________

Signature of Owner or Authorized Agent	Print Name
ADDRESS: ___________________________________________________________________________________________________________
Print Number and Name of Street	City	State Zip Code

Phone

E-MAIL ADDRESS:

DEPARTMENT

DATE

APPROVED BY	DISAPPROVED

AREA/PLANNER OR NOTE

DEPT.

OF

PLANNI

NG

COMMERCIAL REVITALIZATION

BALTIMORE DEVELOPMENT CORP.

FIRE

DEPAR

TMENT

HEALTH DEPARTMENT

HOUSING INSPECTION

FEES

PERMIT FEE

5% TAX

FILING FEE

TOTAL $

ZONING	REFERRALS APPROVED
By	By
Date	Date
	APPROVED
	MICHAEL BRAVERMAN
	Building Official – Permits and Codes Enforcement
PRELIMINARY INSPECTION	Construction and Buildings Inspection
By	Per
Date	Date

REV 6/09

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use and occupancy baltimore city empty spaces to consider

Please put down the data in the field SIGNED, DATE Signature, of, Owner, or, Authorized, Agent Print, Name ADDRESS, Print, Number, and, Name, of, Street City, and State, Zip, Code

step 2 to filling out use and occupancy baltimore city

Within the area talking about EMAIL, ADDRESS DEPART, MENT DATE, APPROVED, BY DISAPPROVED, AREA, PLANNER, OR, NOTE DEPT, PLAN, NI FIRE, DE, PAR T, MENT COMMERCIAL, REVITALIZATION BALTIMORE, DEVELOPMENT, CORP HEALTHDEPART, MENT and HOUSING, INSPECTION it's essential to type in some vital details.

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You should include the rights and obligations of the parties inside the PERMIT, FEE TAX, FILING, FEE TOTAL, and FEES section.

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