To schedule a Vacant Licensing Interior Inspection as required by Vacant Commercial Structures Ordinance 232-5 or Vacant Residential Structures Ordinance 233-5.

Please do not schedule unless the property is vacant and registered as a vacant structure with the City of Hagerstown. Please call 301-739-8577 Ext. 103 for additional information or assistance.

Street #*

N/S/E/W

Street Name*

Unit #

Owner's Name*

Phone Number*

Contact Name (if different from Owner)

Additional Phone Number

Fax

Email*

Type of Inspection*

Vacant Commercial Interior Vacant Residential Interior

Re-Inspection of Vacant (follow up to earlier inspection)

If a representative will not be present at the inspection please include the following information.

How can we access the unit?

Lockbox Combination

Results should be

Emailed Faxed

Left on site

Dates Available for Inspection and any additional information pertaining to the inspection

(Inspections cannot be performed on the same date this form is submitted)

By checking this box I hereby agree that the property to be inspected is vacant and registered as a vacant structure. I also acknowledge that when an inspection cannot be conducted it will be cancelled and re-scheduled for a later date.*

A confirmation of this request will be sent and you will be contacted by a Code Official.