Vacant Building Registration

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Property Address *

Name of Owner *

Phone # of Owner *

Email Address of Owner *

Vacancy Start Date

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Names and addresses of all persons with legal interest in Property

Person #1

Person #2

Describe any Pending Litigation:

Enter any relevant Court Case #'s below:

Court Case #:

Name, address and telephone # of Person consenting to accepting Service of Notice on Behalf of Owner (must be 21 years old and reside in Lake County).

Certificate of Insurance

Please upload a Certificate of Insurance with a minimum liability of $1,000,000
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf.

Escrow Account

Please upload a file associated with the Escrow Account for this property.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf.

Action Plan & Additional Documents

Please upload the Action Plan and any additional documents.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf.

Vacant Building Registration

Contact Information