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<br /> <br />PROPERTY STANDARDS BY-LAW <br />NOTICE OF APPEAL <br />The Notice of Appeal Form must be received on or before 5:00 p.m. on the final date for appeal, with a copy of the <br />Order and non-refundable administration fee. Send by registered mail or deliver to: City of Kitchener, Legislated <br />Services, Attention: Property Standards Appeal Committee Secretary, 200 King St. W., Kitchener, ON N2G 4G7. <br />Appeals received after the date of appeal listed on the Order to Comply will not be processed, not heard by the <br />Committee and the fee will be returned to the Appellant. <br />APPELLANT INFORMATION <br /> <br />Name of Appellant: <br /> <br />Street Address: <br /> <br />City or Town: Province: Postal Code: <br /> <br />Phone Number: Email Address: <br /> <br />ORDER TO COMPLY APPEAL INFORMATION <br /> <br />Property Address: <br /> <br />Order No. (e.g. 17 123456 PI): Issue Date: <br /> <br />Property Owner/Occupant: <br /> <br />Agent (If any): <br />(If any, please fill out the Authorization to Act as an Agent for Appeal form attached) <br /> A copy of the Order to Comply is <br />Appeal Deadline on Order: attached to this Notice of Appeal, as <br />required. <br /> <br />BRIEFLY EXPLAIN THE REASON(S) FOR YOUR APPEAL <br /> I am requesting an extension of time to comply with the Order I disagree with the order <br /> (modify or quash the Order) <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> I am submitting additional documentation (e.g. photos, written documents) attached to <br /> this Notice of Appeal. <br /> <br /> <br />Signature:__________________________________ Date: ___________________________ <br /> Property Owner/Occupier or Agent <br /> <br /> <br />OFFICE USE ONLY <br />Date Notice of Appeal received: Notice of Appeal received by: <br /> <br /> Accepted Incomplete Refused <br />Reason for refusal: <br />Date of Hearing: Notice of Appeal forwarded to: By-Law Legal <br />Notice: Please note a public agenda will be posted indicating the residential address listed on the Order to Comply. <br />The personal information in relation to this form is collected under the authority s. 28(2) of Municipal Freedom of <br />Information and Protection of Privacy Act (MFIPPA) and will be used by the City of Kitchener to process appeals. If <br />you have any questions regarding this collection of personal information, you can contact Jaclyn Rodrigues at <br />telephone number 519-741-2200 or email address jaclyn.rodrigues@kitchener.ca. <br /> <br />