St. Bernard Parish Government

St. Bernard Parish Government
Department of Community Development
8201 West Judge Perez Drive
Chalmette, La. 70043
BLIGHTED PROPERTY INFORMATION FORM
ST. BERNARD PARISH ADDRESS _____________________________________
PROPERTY OWNER(S) _______________________________________________
_______________________________________________
PRESENT ADDRESS __________________________________________________
__________________________________________________
___________________________________________________
TELEPHONE NO. ___________________________________________________
INFORMATION ABOUT STRUCTURE: ( Yea or No)
GUTTED ________ WHEN _______
HAS WINDOWS/DOORS _____ GRASS IS BEING CUT __________
BEING DEMOLISHED ______ WHEN __________ DEMOLISHED _______WHEN _____________
NOTE: I UNDERSTAND THAT WINDOWS AND DOORS WILL RE REQUIRED BY AUGUST 29, 2006
AND THAT THE PROPERTY MUST BE MAINTAINED. ___________________________
OWNER (PLEASE INITIAL)
PROPERTY OWNER INTENTIONS: (Yes or No)
WILL RENOVATE AND MOVE BACK ____________ TRYING TO SELL ____________
PRESENTLY UNDER RENOVATION ___________ APPROX. COMPLETION DATE _____________
PRESENTLY LIVING IN HOUSE ___________ APPROX. DATE OF OCCUPANCY _____________
PRESENTLY LIVING IN FEMA TRAILER ON PROPERTY __________
PERMANENTLY RELOCATED ___________
SIGNATURE _______________________________ __________________________________
PROPERTY OWNER DATE PROPERTY OWNER DATE
_______________________________ __________________________________
PROPERTY OWNER DATE PROPERTY OWNER DATE
__________________________________________________ ___________
PARISH OFFICIAL DATE