I-75 Environmental Mitigation Applications
If duplex, what is the other unit's address?
Preferred Phone Number
Preferred time to Contact
Morning/ La mañana
Afternoon/ La tarde
Night/ La noche
No Preference/ Ninguna preferencia
Are you a Tenant, Landlord, or Owner-Occupant?
If a Tenant, what is the name of your Landlord?
If a Landlord, is the property held in an LLC?
If so, what is the name of the corporation?
If known, what is your landlord's number?
If known, what is your landlord's address?
Please attach one of both of the following:
1. Registered deed, land contract or mortgage statement
2. Valid government photo ID
How did you hear abut us?
Community Meeting/ Reunión comunitaria
Friend/Family/ Familia o amistades
Send me a copy of my responses
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