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2. Alarm License Application Form - New
6. Village of Hanover Park
   2121 Lake Street, Hanover Park, IL 60133
7. 630-823-5600
   www.hpil.org
9. All automatic signaling devices must be registered each year and comply with requirements of Article V. Chapter 78 of the Municipal Code of Hanover Park.
   
   $25.00 Annual Fee
   
   False Alarm Notice
   The Village of Hanover Park imposes a service charge for responding to more than two false alarms in a permit year:
   3rd response $100.00
   4th & all subsequent $125.00
   
   All service charges must be paid within 30 days.
   
   The alarm owner has an opportunity within 10 days of receipt of notice of a false alarm to appeal to the Police Department Support Services Manager the circumstances that he/she feels existed so that the alarm should not be classified as a false alarm.
13. Alarm Location Information
15. Name*
17. Address*
19. City*
20. ZIP*
22. Phone Number*
24. Email Address*
28. Owner Information if Different From Above
30. Name
32. Street Address
34. City
35. Zip
37. Phone Number
39. Email Address
43. Alarm Monitor Information
45. Name
47. Street Address
49. City
50. Zip
52. Phone Number
54. Email Address
58. Emergency Contact Information
60. Name
61. Phone
63. Email Address
65. Name
66. Phone
68. Email Address
72. Waiver
    The undersigned, as the legal and beneficial owner or lessee of the property described in this application hereby agrees that the Village shall not be liable for any defects in operation of signal device systems, for any failure or neglect to respond appropriately upon receipt of an alarm from such a source, nor for failure or neglect of any person in connection with the installation and operation of equipment, the transmission of alarm signals and prerecorded alarm messages or the relaying of such signals and messages. In the event that the Village finds it necessary to disconnect a defective signaling device or any device which is used in a manner which violates the provision of the Municipal Code, the Village shall incur no liability by such action.
74. Date
    Date
75. Signature

    1. I, agree

    By selecting I agree option above you are giving your electronic signature.
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77. 1. Receive an email copy of this form.
78. Email address

    This field is not part of the form submission.

79. Submit Submit and Print

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