Certificate of Ownership & Use – New Building

Property Owner Name

Property Address

Street Address City State ZIP Code

What will the Property Be used for?

Single Family Dwelling

Multi-Family Dwelling

Single Unit Townhouse

___-Unit Apartment

Single Unit Condominium

Duplex

Vacant Lot

If "___-Unit Apartment" please specify the number of units below.

Present Owner Contact Details

Name of Present Owner

Present Owner Phone

Present Owner Address

Street Address City State ZIP Code

Contractor Contact Details

Name of Contractor

Contractor Phone

Contractor Address

Street Address City State ZIP Code

THE PRESENT OWNER LISTED ABOVE, BEING DULY SWORN, DEPOSES AND SAYS THAT HE/SHE IS THE PRESENT OWNER OF THE BUILDING/SPACE REFERRED TO ABOVE, AND THAT THE FACTS SET FORTH IN THE FOREGOING APPLICATION FOR CERTIFICATE OF OWNERSHIP & USE ARE TRUE AND CORRECT AS HE/SHE VERILY BELIEVES.

THIS IS ALSO TO CERTIFY THAT ALL STORM WATER INITIATING FROM MY PROPERTY HAS BEEN DIVERTED IN THE PROPER MANNER SO AS TO PREVENT STORM WATER FROM ENTERING THE SANITARY SEWER SYSTEM OF THE BOROUGH OF OAKMONT, AND WAS DONE PRIOR TO THE SALE OF THIS PROPERTY.

SWORN TO AND SUBSCRIBED BEFORE ME THIS

Day

Month

Year

Notary Public

My Comissions Expire