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Alarm User Permit

  1. 1. Alarmed Location

  2. Property Owner

  3. Additional Alarm Users (or key-holders)

  4. 2. Type of Alarm Function*

    Check all that apply

  5. 3. Fee

  6. Type of Alarm System

    Fire Alarm

  7. Price

  8. Type of Alarm System

    Police Alarm

  9. Price

  10. 4. Alarm Companies

  11. Provide any special information about the home/building (trap doors, animals or pets inside, things that may explode, chemicals on site, firearms on site, etc), lock box or key box and location.

  12. 6. Authorization*

  13. GOVERNMENT DATA PRACTICES - TENNESSEN WARNING

    The data you supply on this form will be used to process the license you are applying for. You are not legally required to provide this data, but we will not be able to process the license without it. The data will constitute a public record if and when the license is granted as such will be available to the general public upon written request. (MN Law M.S.13.41)

  14. All alarm systems are subject to false alarm charges, fees and penalties according to City Ordinance. I have reviewed the Hopkins Alarm Ordinance and understand its contents and my responsibilities.

  15. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

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