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Get Registration Application 2014-2024

) 747-2435 SINGLE FAMILY: $75 DUPLEX: $125 *INCLUDE PAYMENT WITH APPLICATION PROPERTY INFORMATION Rental Dwelling Address Initial Application Renewal Application -or(check one) Type of Dwelling (check one) Year Built Single Family Duplex Number of Bedrooms Unit 1 Townhome Unit 2 Mixed-Use (# Units_____________) OWNER INFORMATION Dwelling Owner E-Mail Address Address City Home Phone Work Phone State Zip Code State Zip Code Cell Phone CARETAKER / PROPERTY MANAGER INFORMATION .

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