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Stage 1 Drought Restriction Update
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Vacation Patrol Check-Police
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Vacation Patrol Check
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Please fill out this form as completely as possible to allow our personnel to effectively impliment your request. Certain areas are required.
First Name
*
Last Name
*
Address to be Checked
*
Date Leaving
*
Date Returning
*
Home Phone
Cell Phone
Email Address
Are you leaving keys with anyone?
*
Yes
No
Name of Person with Keys and Phone Number
Emergency Contact Name and Number
*
Do you have dogs that will stay?
Yes
No
Do they bite?
Yes
No
Names and Breeds
Are you leaving lights on?
*
Yes
No
Types of Lights
Motion Lights
Timer Lights
Location(s) of Lights
Inside
Outside
Front
Back
If leaving vehicles where will they be?
Driveway
Garage
Street
Backyard
Vehicle(s) Color, Year, Make Tag Number
Do you have an alarm system?
Yes
No
Alarm Type and Company
Additional Information
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