Transcription of APPLICATION FOR EXEMPTION FROM ADMINISTRATIVE …
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Reset Form THE CITY OF NEW YORK. DEPARTMENT OF HOUSING PRESERVATION AND DEVELOPMENT. DIVISION OF CODE ENFORCEMENT. 94 Old Broadway, 7th Floor New York, NY 10027. APPLICATION FOR EXEMPTION FROM ADMINISTRATIVE CODE (a). Owner or authorized individual: Read and follow the instructions attached to this APPLICATION . Fill out this APPLICATION completely, sign it, and have it notarized. Attach all required documentation. An incomplete APPLICATION will be not be accepted. Submit the APPLICATION and all required affidavits as original documents. Section I: Owner Information The person completing/submitting the APPLICATION is (check applicable box): the registered owner of the below referenced multiple dwelling a registered officer or director of the corporate owner of the below referenced multiple dwelling the registered managing agent of the below referenced multiple dwelling a registered representative of the cooperative housing corporation for the below referenced multiple dwelling a registered representative of a condominium board of managers the shareholder of record on the proprietary lease for the below referenced cooperative dwelling unit the owner of record for the below referenced condominium unit an authorized representative of the following governmental agency: _____.
4) A copy of the EPA certification for the lead abatement supervisor or project designer who supervised the work. 5) A copy of the EPA abatement firm certification . 6) The affidavit from the Lead-Based Paint abatement firm signed by the lead abatement supervisor, project designer, or firm principal with original signature and notary.
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