First Name
Last Name
Phone
*
Email
*
Relationship to Property
Relationship Other Explanation
Property Located At
Parcel Map Lot Info
Municipality
Tanks Current Use
Tanks Ever Existed
Tanks Out of Service Duration
Tank Materials Stored
Tank Source of Information
Tank Comments
Toxic Material
Landfill
Radioactive Material
Methamphetamine
Easements Rights of Way Restrictions
Access Source of Information
Access Explanation
Public Maintained Access
Road Maintenance Responsibility
Road Association Name
Flood Events Affected Property
Flood Events Affected Structure
Flood Damage to Structure
Flood Insurance Claim
Disaster Aid Flood Recovery
FEMA Special Flood Hazard Area
Flood Map Attachment
PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF
Flood Comments
Flood Source of Information
Shoreland Zoning Overlay
Division Within Last 5 Years
Tax Exemptions or Reductions
Forest Management Plan
Property Surveyed
Soil Tested
Mobile Manufactured Homes Allowed
Modular Homes Allowed
General Comments
Additional Attachments
PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF
Attachment Notes
Seller Signature
Clear
Seller Printed Name
Seller Signed Date
Submit