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200 S. Anaheim Blvd., Suite 145 Anaheim, California 92805 (714)765-5153 Phone (714)765-4607 Fax www.anaheim.net/building MAR 2010 B707 CITY OF ANAHEIM PLANNING DEPARTMENT BUILDING DIVISION REQUEST FOR MODIFICATION OR ALTERNATE MATERIAL OR METHODS CASE NUMBER: DATE: TYPE OF REQUEST: (Check applicable) Request for Modification of Building Standards (A.M.C. 15.02.030.090) Request for Alternate Material or Methods of Construction(A.M.C. 15.02.030.095) JOB ADDRESS: Owner: Site Address: City/State/Zip: Phone Number: E-mail: PETITIONER: Same as Job Address Name: Address: City/State/Zip: Phone Number: E-mail: REQUEST (Submit plans if necessary to illustrate request. Additional sheets of data may be attached.) PETITIONER’S JUSTIFCATION/EVIDENCE OF EQUIVALENCY (List supporting code sections) Petitioner’s Signature: Title: Date: FOR STAFF USE ONLY Building Division Action BLD Distribution: # of Stories: Occupancy Class: Construction Type: Owner Petitioner File Fire Department This request is: Approved Disapproved Approved with Conditions Conditions of Approval or Reasons for Denial: Signature: Position: Date: Fire Department Action Concurrence from Fire Marshal is required. This request is: Approved Disapproved Approved with Conditions Conditions of Approval or Reasons for Denial: Signature: Position: Date: