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2. 
4. Is this a commercial or residential property?

   1. Commercial
   2. Residential
6. Property Address
8. City
9. State
10. Zip Code
12. Improvements by:

    1. Property Owners
    2. Lessee/Tenants
14. Name of nominee:
15. Contact Phone Number
17. Contact Address

    If different from property address

19. City
20. State
21. Zip Code
23. Person Making Nomination:
24. Email Address
26. Phone Number
28. Upload photo of the property before:
30. Upload photo of the property after:
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field