Licence and Community Standards Appeal Board Notice of Appeal

CC 962 (R2023-03)
ISC: Confidential

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IMPORTANT INFORMATION - Your notice of appeal must be accompanied by:

The $100.00 appeal filing fee; and,
a copy of the Order, Notice, Permit, Licence or Decision being appealed. A word or pdf copy can be attached to this form below; or a scanned copy or photo of the original can be submitted by email to lcsab@calgary.ca.

Appeals must be filed within certain time periods. For more information, consult the Decision, Order, Notice, Permit or Licence being appealed, the Bylaw that applies, and the Municipal Government Act.

Appellant Information

Name of Appellant [required]

Address [required]

(for notification purposes)

City [required]

Province [required]

Postal Code [required]

Email Address [required]

(for notification purposes)

Daytime Phone [required]

Secondary Phone

Agent Information (if applicable)

Name of Agent

Address

(for notification purposes)

City

Province

Postal Code

Email Address

(for notification purposes)

Daytime Phone

Secondary Phone

Appeal Type (Choose one) [required]

Appeal under the Responsible Pet Ownership Bylaw including appeals regarding licences, permits, or remedial orders

Appeal about a licence or permit

Appeal of a Remedial Order under the Community Standards Bylaw or the Municipal Government Act

UUID

Date that the Decision, Notice, Order Licence or Permit was received [required]

Licence/Appeal Type

Municipal Address of Site (if applicable)

Please explain your reasons for appeal. A copy of this notice will be provided to Board members and to the City Administration. Please provide as much detail as possible.

Reasons for Appeal [required]

Please explain your reasons for appeal. A copy of this notice will be provided to Board members and to the City Administration. Please provide as much detail as possible.

Attachment can be 2 MB max.

Note: Only Word or pdf files are accepted file formats

By clicking Submit, I confirm and acknowledge that

I have read and understood this form;
The information I have provided is accurate to the best of my knowledge; and
I am responsible for paying the appeal fee and my notice of appeal will not be considered filed until my appeal fee has been received.

I confirm and acknowledge that

I have read and understood this form;
The information I have provided is accurate to the best of my knowledge; and
I am responsible for paying the appeal fee and my notice of appeal will not be considered filed until my appeal fee has been received.

Submission Date

The personal information collected in this form is collected for the purpose of administering appeals pursuant to the Licence and Community Standards Appeal Board Bylaw and is collected under the authority of section 33(c) of the Freedom of Information and Protection of Privacy Act. THIS INFORMATION WILL BE USED FOR PROCESSING YOUR APPEAL AND MAY BE PUBLISHED. If you have any questions regarding the collection of this information, contact the Tribunal Coordinator, City Appeal Boards at 403-268-5312 or PO Box 2100, Stn “M", #8110, Calgary, AB, T2P 2M5.

If you require further information regarding appeal deadlines and procedures, please contact the LCSAB office at:

Website: calgary.ca/lcsab Phone: (403) 268-5312 Email: lcsab@calgary.ca

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