Unoccupied Residence Registration

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City of Arcadia

UNOCCUPIED RESIDENCE

RESPONSIBLE PERSONS REGISTRATION

 


1

ADDRESS OF UNOCCUPIED RESIDENCE

 *
2

PROPERTY OWNER INFORMATION

 *
PROPERTY OWNER INFORMATION
3

 Please indicate (if applicable):


AUTHORIZED PERSONS

4

1st Contact

1st Contact
5

  Please indicate (if applicable):

6

2nd Contact

2nd Contact
7

  Please indicate (if applicable):


8

Property Management Company Information

As an alternative to having the two above contacts, a property management company that is located within 20 miles of the City and can respond within one (1) hour and on a 24-hour basis, can be provided as the authorized contact.  The following company has been hired by the owner and is authorized to take actions related to the property.

Property Management Company Information As an alternative to having the two above contacts, a property management company that is located within 20 miles of the City and can respond within one (1) hour and on a 24-hour basis, can be provided as the authorized contact. The following company has been hired by the owner and is authorized to take actions related to the property.

9
I, the property owner, hereby declare under penalty of perjury that all information submitted for this application is true and correct.  I acknowledge that I am strictly liable for failures to maintain the property and/or for a response in a timely manner
 *
I, the property owner, hereby declare under penalty of perjury that all information submitted for this application is true and correct. I acknowledge that I am strictly liable for failures to maintain the property and/or for a response in a timely manner
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