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Alarm Permit Form

  1. Type of Application*

  2. Alarm Site (location of alarm)

  3. Permit Holder / Billing

    Only enter address if different from the alarm site address.


  5. Contact Person

    These are individuals that are able to respond and assist police. This list must be kept current with the alarm company.



  8. Agreement of Terms*

    I have read the completed application and know the same is true and correct and hereby agree that if a permit is issued, I will comply with all the provisions of Chapter 104, Code of Ordinances of the City of Cleburne and applicable State laws. I accept responsibility of payment of all fees and fines that may result from the operation of the alarm system serving the above premises.

  9. For Office Use Only

  10. Leave This Blank: