Residential Alarm Permit Application

Please submit one form annually per residence.

If space on form is not applicable please indicate by typing N/A.

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Property Address *

Property Owner / Occupant *

Property Owner's / Occupant's Phone Number *

Property Owner's Email *

Secondary Contact Person *

Secondary Contact Person's Phone Number *

Secondary Contact Person's Email Address *

Is the alarm monitored by an alarm company? *

Yes

Name of Alarm Company *

Alarm Company Phone Number *

Certification *

Yes

I hereby certify that I have read the completed application and know the same is true and correct and hereby agree that is a permit is issued, I will comply with all provisions of the Hickory Creek Town Ordinance, Article 8.04 and applicable state laws. I accept responsibility for all fines that may results from the operation of the alarm system serving the above premises.

Signature *

Yes

Agreeing to signature of applicant

Residential Alarm Permit Application

Please submit one form annually per residence.

Contact Information