I agree to pay all charges pursuant to
thirty (30) days when they become due.
the alarm ordinance within
I agree to provide written
notification to the Westerville Division of Police and/or Fire within
ten (10) days of a change in the information on this application.
I
understand that my permit may be subject to termination for failing
to do either of the above.
I understand that my permit is not transferable and that it will be
kept on file with the Westerville Division of Police and/or Fire.
A
copy of the alarm ordinance is available for my review at 29 South
State Street, Westerville Ohio.
APPLICANT'S SIGNATURE
APPLICATION APPROVED BY
DENIED BY
DATE
REASON DENIED
Return to:
I
Crime Prevention Office
Westerville Division of Police
29 South State Street
Westerville, Ohio 43081
DO NOT TYPE BELOW THIS LINE, OFFICE USE ONLY
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Ronald A. Shaw
Chief of Police