Millburn, MT · Essex County

No notary required

Variance Request Application

Property owners or lessees with owner approval use this application to request a variance from a provision of the fire code.

What this form is

This application lets a property owner, or a lessee with the owner's approval, request a variance from a fire code provision. It asks for the business name, premises address, registration number, the requirement at issue, and details about the practical difficulty of strict compliance. The form says the applicant will be notified within 30 days and that a signed copy must be returned before approval can be granted.

Who needs it

A property owner or a lessee with the owner's approval may use this form to request a variance from a fire code provision.

How to submit it

Return a signed copy to the Millburn Fire Department, Fire Prevention Division, at 459 Essex Street, Millburn, N.J. 07041, before approval can be granted.

About notarization

This application is signed without a notary; the applicant just signs and dates it, and the form does not identify any notarized or sworn attachment.

How to submit this form

  1. 1

    Download The Application

    Download the Variance Request Application PDF.

  2. 2

    Complete The Application

    Provide the requested business, premises, registration, and practical-difficulty information.

  3. 3

    Check For Attachments

    The form does not list any required attachments.

  4. 4

    Sign And Submit

    Sign and date the form, then return a signed copy to the Fire Prevention Division at the address listed.

Frequently asked questions

Who can request a fire code variance?
The form says a property owner, or a lessee with the owner's approval, may apply for a variance from a fire code provision.
What information does the application ask for?
It asks for the date, registration number, business name, premises address, the requirement at issue, and details about the practical difficulty of strict compliance.
Do I need a notary for the Variance Request Application?
No. The applicant signs and dates this form; it does not identify a notarized or sworn attachment.
How do I submit the Variance Request Application?
Return a signed copy to the Millburn Fire Department, Fire Prevention Division, at 459 Essex Street, Millburn, N.J. 07041, before approval can be granted.