Certification

By submitting this form, I hereby certify that, at the time of this Application,

1. The property identified above is in compliance with all applicable City of Bancroft

Ordinances, including but not limited to, those regarding

a. Garbage, see Chapter 50;

b. Nuisances, see Chapter 92;

c. Building Regulations, see Chapter 150; and

d. Unfit Structures, see Chapter 151;

2. The property identified above is free of any dangerous or hazardous conditions,

either man-made or natural;

3. The property identified above is free of any temporary or portable structures, such

as tents, temporary canopies, and other forms of temporary shelter or housing;

4. All structures on the property identified above are in good, safe, and working

condition, and are not in any way uncompleted, abandoned, deteriorated, dilapidated, or extremely

unsound, or in any condition which would endanger the health and safety of the public;

5. All sidewalks, walkways, stairs, driveways, parking spaces, and similar areas on

the property identified above that are accessible to the general public are also in good, safe, and

working condition, and are not in any way deteriorated, dilapidated, or unsound, or in any

condition which would endanger the health and safety of the public; and

6. All state, city, and local taxes levied and assessed against the property identified

above that are due and payable at the time of filing of this Application have been paid.

Read carefully before submitting.

Footer