Appointment Request for Technical Affairs Fax (212) 566-3796 Please complete the following form to request an appointment to meet with Technical Affairs Executive Staff. Appointment Type Building Code Interpretation/Reconsideration Zoning Interpretation Multiple Dwelling Law Interpretation/Reconsideration TPPN Interpretation/Reconsideration Operational Issue Photoluminescent Reconsideration (RS 6-1) Other: Applicant Information Property Information Attendees (name, title, contact information): Property (address, BIN, Block/Lot, application #): Topic Issue/objection to be discussed: Code/Zoning Section: It should be noted that the subject issue or objection be reviewed by the Borough Office prior to requesting an appointment. Please indicate reviewer/reviewers by checking the appropriate box below except for photoluminescent appointments. Deputy Commissioner Executive Engineer Borough Commissioner Technical Meeting Borough Commissioner Deputy Borough Commissioner Chief Plan Examiner Plan Examiner Legal Description/Justification: For Internal Use Only Control #: Priority: Appointment: Type: Decision: By: Details: ADM-62 (Rev.9/05) American LegalNet, Inc. www.FormsWorkflow.com