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To demonstrate community consensus, neighbors may write or sign their name. If the project is within 50 feet of private property, the property owner (Adjacent Property Owner) should be notified of the proposed project.
The neighborhood should use its discretion in the numbers of signatures it should collect to demonstrate consensus and support for the project.
Applicant should consider receiving signatures from 40% of homeowners within the neighborhood. Utilize additional pages as needed. We, the undersigned, support the proposed public safety project.
If the undersigned is a member of the neighborhood (“Financial Contributor”), undersigned additionally agrees to be responsible for all equipment, service, and installation costs associated with the proposed project and agrees to all terms outlined by the City’s Public Safety Reimbursement Program, as signed by the Designated Representative.
If you are a returning applicant, please complete the returning application page for expedited processing as funds are available.
Please provide a labled map indicating your neighborhood or HOA boundaries.
Please provide the cross streets and the cardinal directions.
Participants are encouraged to conduct their own due diligence in selecting a camera type and vendor.
Please enter the total cost excluding tax.
Up to 50% of the cost for a neighborhood with a maximum reimbursement of $2000.
On behalf of the (Neighborhood) I agree to adhere to the City of Rancho Palos Verdes’ Public Safety Reimbursement Program (Program) terms, a copy of which are provided herein, and reviewed by me, including each of the conditions of all City-issued permits issued in connection therewith. As an authorized representative,
I acknowledge and agree to the following Program conditions on behalf of the Neighborhood as follows.
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.
This field is not part of the form submission.
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