Applicant Name
*
First Name
Last Name
Address Where the Proposed Camera Will Be Installed
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Applicant Email
*
example@example.com
Applicant Phone Number
*
Please enter a valid phone number.
Are you the property owner of the building where the camera will be located?
*
Yes
No
If you are not the property owner, please attach a consent letter from the landlord with any conditions on the installation.
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Please provide the model of camera you would like to install & an estimate of cost
Describe where on the building will you be installing the camera
Example: Front of the building covering Cherokee Street; Side of the building covering Oregon from Cherokee Street to the alley; The back of the building covering the alley and an adjacent parking lot; etc.
What is the projected timeline of installation?
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