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Get NY Rodent Free Certification Before Demolition - Nassau County 2015-2024

TION LOCATION INFO ASSIGNED TO : PAYMENT TYPE: ID# Bank ID# Money Order D STREET ADDRESS DATE RECEIVED: Check RODENT FREE APPLICATION DEMOLITION LOG # VILLAGE SECTION CROSS STREET BLOCK LOT(S) DEMOLITION TYPE COMPLETE DEMOLITION ALL Building(s) / Structure(s) to be Demolished PARTIAL DEMOLITION ONLY a Portion of the Building(s)/ Structure(s) is to be Demolished* * ON PARTIAL DEMOLITIONS List the Structures(s) to be Demolished PROPERTY USAGE Residenti.

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