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2. Permit Number assigned to project*
4. PROPERTY INFORMATION
6. Property Address*
8. CONTACT INFORMATION FOR THE SUBMITTAL
10. Contact Name*
12. Contact Phone Number*
14. Contact Email Address*
16. Retype Contact Email Address*
18. DESCRIPTION OF WORK
20. Description of Deferred Submittal.*
22. Submittal Documents*
24. Additional Submittal Documents 1
26. Additional Submittal Documents 2
28. Additional Submittal Documents 3
30. Additional Submittal Documents 4
32. Additional Submittal Documents 5
34. Additional Submittal Documents 6
36. Additional Submittal Documents 7
38. Additional Submittal Documents 8
40. Additional Submittal Documents 9
42. Additional Submittal Documents 10
44. SIGNATURE OF UNDERSTANDING AND AGREEMENT
46. I understand that work associated with this submittal may not start until approved by the City of Wheat Ridge.*

    1. Yes
48. I certify that I have been authorized by the legal owner of the property to submit for approval the documents described above.*

    1. Yes
50. I attest that everything stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both.*

    1. Yes
52. Person Submitting Revision*
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56. 1. Receive an email copy of this form.
57. Email address

    This field is not part of the form submission.

58. Submit

* indicates a required field