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Single Family/Duplex
Multi Unit (+3)
Property Owner
Responsible Party
Other
Property Owner
Responsible Party
Other
Type Full Name :
Sign With Hand
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ZIP
City
Tenants Details
City, State, ZIP
Property Owner Details
Type
Email
Signature
I, the undersigned, hereby certify that:
1. The information submitted in this application is an accurate representation of the facts on the date of the application.
2. The registration/license fee does not constitute official licensing until compliance with all the provisions of the Property Maintenance Code have been verified through inspection by authorized personnel.
Business Type
Name
Contact Person Details
Address (P.O. Box not acceptable)
Address (P.O. Box not acceptable)
If the owner resides outside a 25 mile radius of the {[CNAME]} there must be a designated agent (within 25 miles of the {[CNAME]}) to accept property maintenance and notice/service responsibility.
Phone #
Email
Name
Secondary Contact Person Details
State
Email
Begin search by typing the address number and part of the street name and press Enter
Email
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
www.uprov-montco.org/
Address
Name
Email
Company
Phone #
Parcel ID
Property Details
Name
Contact Person Is
Certification
Business Name
Secondary Contact Person
Name
Address
Phone #
{[PNAME]}
Amount Due
Agent Details
Address 2
City, State, ZIP
Phone #
Property Manager Details
Phone #
# of Units
First Name
Phone #
Tenant Details
Last Name
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Your application has been submitted successfully.
Property Owner Email:
Date Submitted:
Reference #:
Property Manager Email:
Who we will contact for inspections: