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APPEAL OF DETERMINATION THAT PROPERTY IS NOT FIT FOR USE <br /> Case No. <br /> <br />Applicant Name: <br /> <br />Address of Property Determined Not F~t For Use: <br /> <br />Date of City' s Determination Not F~t for Use: <br /> <br />I am the [] property owner, [] duly authorized agent of the property owner (explmn)' <br /> <br />I appeal the determination that the above property is not fit for use. I rnake this request within thlrts~ (30) <br />working days from the date of the City's determination. <br /> <br />The grounds for my appeal are as follows: <br /> <br />This appeal form, together with the appeal fee, must be presented in person to Eugene Mumc~pal Court, 777 <br />Pearl Street, #104, Eugene, Oregon, during regular business hours ( 7:45 a.m. to 5:00 p.m. Monday through <br />Friday, exclusive of hohdays). All heanngs will be conducted at the Eugene Mumc~pal Court. <br /> <br />Dated: Pnnted Name: <br /> Address (If different than above): <br /> <br /> Telephone: <br /> <br /> S~gnature: <br /> <br /> For Office Use Only <br /> <br />Date Received by Munlc~pal Court Employee Imtmls <br />Fee Paid: <br /> <br /> HEARiNG DATE TIME: AM/PM <br /> JUDGE: <br /> <br />Date/Time C~ty Prosecutor Notified: [] phone [] U.S. Marl [] email [] in person <br />Date/Time Requestor Notified: [] phone [] U.S. Mall [] emall [] in person <br /> <br /> 01/03 <br /> <br /> <br />