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Agent Same as Owner
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Single Family
Two Family
Multi Family (3+ Units)
Condo/Townhouse
Residential
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Sale
Rental
Change of Tenant
Occupy
Temporary
Re-inspection
Property Owner
Agent
Other
Type Full Name :
Sign With Hand
Clear
Done
City, State, ZIP
# of Bedrooms
New Occupant Details
Phone #
Certificate #
Garage
Provide details of all new occupants.
Property Owner Details
Type
Type
Signature
By signing below, I the owner certify that all of the information provided in this application is true and accurate. I certify that this dwelling and all other structures on the property meet the zoning requirements of the {[CNAME]} I attest to the fact that no rubbish/debris/bulk garbage will be left on this property prior to new occupancy. I understand that failure to comply will result in retraction of the {[PNAME]} and a summons will be issued. I understand that this applies to all properties that fall within the {[CNAME]}.
Attachments
# of Units
Business Type
Contact Person Details
Address
City, State, ZIP
Email
Application Fee
Name
Address
Buyer Details
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
Lot
Email
Block
Begin typing address and select from the populated dropdown
Deck
Fence
Year Built
Name
Address
Fee Schedule
Name
Email
Application Details
Company
Closing Date
Reinspection Fee (If Applicable)
Phone #
Property Details
Who should we contact for inspections?
Certification
Shed
Name
Address
{[PNAME]}
Agent Details
Address 2
Finished Basement
Amount Due
Pool
Attach a proof of CRC inspection that has passed, Water Utility.
City, State, ZIP
Specify if any of the following accessory structures exist at this address
Phone #
Phone #
Email
First Name
Phone #
New Occupant Details
Last Name
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Your application has been submitted successfully.
Property Owner Email:
Amount Due:
Date Submitted:
Reference Number:
Agent Email:
Who we will contact for inspections: