Radford, VA

Vacant Building Registration and Renewal Form

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Select From the Below Options: (Code of Ordinances Sec. 50-200.)*

	New Registration
	Amendment

	Renewal
	Removal

Section 1-Building Information
A. Correct Address of Building

B. Real Estate Tax ID Number(as printed on real estate bill)

Section 2: Ownership Information
A. List the name, address, and phone number of the owner:

B. If the property is held in a land trust, the beneficiary must be disclosed. (name, address, phone number)

Condition/Status of the Building
A. Is the building enclosed and secured?

Yes

B. Has a sign been posted on the building listing owner name, address and phone?

Yes

C. What is the date the building became vacant?

Section 4: Certification
I hereby certify that I have examined this Vacant Building Registration form and that, to the best of my knowledge and belief, it is true, accurate and complete. I am aware that failure to provide suitable or inaccurate form shall be deemed NOT to satisfy the requirements of City of Radford Ordinance Code Dec. 50-200 and will subject owners a fine and penalty.

Please print name and date:

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