APPENDIX A: PERMIT FEE WAIVER APPLICATION
City of Blue Island
13051 Greenwood Avenue
Blue Island, IL 60406
www.blueisland.org
   PERMIT FEE WAIVER APPLICATION
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Property Address
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Property Owner                           Phone #
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Number of Units Reduced
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Number of Units at Present
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Coach House Conversion
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Contractor                              Phone #
This application is for the waiver of permit fees for the conversion of a multifamily building to a single family house in an R1 or UTOD zone. All permits must be applied for and issued, a copy of the revised deed that is recorded at Cook County shall be filed with the City of Blue Island between the rough and final inspection, and all work must be completed within twelve (12) months or all fees will be reinstated. This application must be reviewed and approved before permits are issued for the fees to be waived.
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Owner’s Signature         Date            Approved by            Date
(Ord. 2019-042, passed 8-27-2019)