Application For Certificate Of Occupancy
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1CITY OF SOUTH EUCLID - HOUSING DEPARTMENT
CITY OF SOUTH EUCLID - HOUSING DEPARTMENT
FORM
VP-CO
APPLICATION FOR CERTIFICATE OF OCCUPANCY
PRINT OR TYPE ALL FIELDS
DATE
/
/
NUMBER & STREET OF VACANT BUILDING
SUITE / FLOOR
NAME OF TITLE OWNER, AGENT, LESSE, OR PARTY IN CONTROL OF VACANT BUILDING – PO BOXES ARE NOT AN ACCEPTABLE ADDRESS
ADDRESS
CITY
STATE
ZIP CODE
TELEPHONE NUMBER
-
-
EMAIL ADDRESS
NAME OF PROPERTY MANAGEMENT COMPANY / CONTACT – REQUIRED FOR OWNERS LIVING OUTSIDE CUYAHOGA COUNTY
ADDRESS
CITY
STATE
ZIP CODE
TELEPHONE NUMBER
-
-
EMAIL ADDRESS
[CHAPTER 1414.05] FEE FOR A CERTIFICATE OF OCCUPANCY SHALL BE TWO HUNDRED DOLLARS ($200.00).
MAKE CHECKS PAYABLE TO: CITY OF SOUTH EUCLID
NOTARIZATION REQUIRED
SIGNATURE OF AFFIANT
SUBSCRIBED AND DULY SWORN BEFORE ME ACCORDING TO THE LAW, BY THE ABOVE NAMED APPLICANT THIS:
__________DAY OF_________________, 20______
IN THE CITY, VILLAGE, OR TOWNSHIP OF_________________________ STATE __________.
NOTARY PUBLIC
FORM VP-CO
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