How do I submit the appeal request?

Call (734) 240-7917 to arrange an appointment to pick up the packet and review your information. After completing it, call the same number to schedule a final review.

Do I need a notary for the Sanitary Code appeal request?

No. The hearing request is signed and dated without a notary. If a variance is granted, an affidavit may be required and must be sworn before a notary.

What information and materials does the packet request?

It asks for applicant and property details, information about the denial, and the basis for the appeal. It also requires a site plan with specified property and system details.

Monroe County, MI · Monroe County

No notary required

Request for Variance to Environmental Health Sanitary Board of Appeals

Monroe County property owners use this request to appeal a Health Officer ruling under the county Sanitary Code and seek a hearing.

At a glance

Issued by: City of Monroe County · Monroe County, Monroe County, Michigan
Notarization: Not required: file this form without a notary.
Official source: co.monroe.mi.us
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This packet requests a hearing to appeal a ruling or decision by the Health Officer enforcing the Monroe County Environmental Health Sanitary Code. The written appeal is due within 30 days of the decision and must explain its basis; an appeal-filing fee is due when the hearing is requested, though the Board may waive some or all of it for demonstrated financial hardship. The packet asks for applicant and property details, denial information, and a detailed appeal basis, plus a site plan.

Who needs it

A person appealing a Health Officer ruling under the Monroe County Sanitary Code should use this packet to request a hearing before the Sanitary Code Appeals Board.

How to submit it

Call (734) 240-7917 to arrange an appointment to pick up the appeals packet and review your information, then call again for a final review after completing it. The form lists the Environmental Health Division at 2353 S. Custer Road, Monroe, MI 48161.

About notarization

The hearing request is signed and dated without a notary; if a variance is granted, the packet says an affidavit may be required and must be sworn before a notary.

How to submit this form

1
Get the Appeals Packet
Call (734) 240-7917 to schedule an appointment to pick up the packet and review your information.
2
Complete the Request
Provide applicant and property information, details about the denial, and a written explanation of the appeal basis; sign and date the request.
3
Prepare the Site Plan
Prepare a site plan to scale showing the property details and other items listed in the packet, including proposed and replacement systems.
4
Arrange Final Review
After completing the packet, call (734) 240-7917 to schedule an appointment with the Office Manager for final review.

Frequently asked questions

Who can request a Sanitary Code appeal hearing?: A person appealing a ruling or decision by the Health Officer enforcing the Monroe County Environmental Health Sanitary Code can request a hearing using this packet.
How do I submit the appeal request?: Call (734) 240-7917 to arrange an appointment to pick up the packet and review your information. After completing it, call the same number to schedule a final review.
Do I need a notary for the Sanitary Code appeal request?: No. The hearing request is signed and dated without a notary. If a variance is granted, an affidavit may be required and must be sworn before a notary.
What information and materials does the packet request?: It asks for applicant and property details, information about the denial, and the basis for the appeal. It also requires a site plan with specified property and system details.

Need something notarized?

This Request for Variance to Environmental Health Sanitary Board of Appeals doesn’t need a notary, but Michigan residents can notarize other documents online with a commissioned online notary.