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Registration Form - Baltimore, MD (Part A & C).pdf

Registration Form - Baltimore, MD (Part A & C).pdf

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PROPERTY REGISTRATION - PART B<br />

OWNER'S NAME:<br />

REGISTRATION NUMBER:<br />

PLEASE LIST EACH ADDRESS YOU ARE REGISTERING<br />

SELECT THE PROPERTY TYPE<br />

1 OR 2<br />

FAMILY<br />

DWELLING<br />

MULTIPLE<br />

FAMILY<br />

DWELLING<br />

VACANT<br />

COMMERCIAL<br />

VACANT<br />

LOT<br />

1<br />

PROPERTY ADDRESS<br />

BLOCK LOT<br />

#<br />

DWELLING<br />

UNITS<br />

# ROOMING<br />

UNITS<br />

#<br />

OTHER<br />

UNITS<br />

2<br />

3<br />

4<br />

5<br />

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11<br />

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18<br />

REV 10/25/11

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