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(48hr notice after payment, application, water meter photo received, no same day inspections, no one is required to be present for inspection)
Photo is required so Office can verify meter read
Date cannot be more than five days from Closing date
By signing below, the Applicant certifies that all provisions of the ordinances of VRLB shall be complied with and that all information provided herein is true and correct, to the best of their knowledge; and that I have been authorized to submit this application as his or her agent.
If you would like to submit credit card payment information to make payment of the $60 inspection fee fill out the information below. If you would like to call out office to make payment over the phone after submittal call (847) 546 -2351
By signing and completing the fields below you as the legal authorized credit card user are permitting the Village of Round Lake Beach to debit your account for the amount of $60 on or after the initial submittal date. This permission is for a single transaction only, and does not provide authorization of any additional unrelated debits or credits to your account.
I authorize the Village of Round Lake Beach to charge the credit card indicated in this authorization form according to the terms outlined above. This payment authorization is for the goods/services described above, for the amount of $60 and is valid for one (1) time use only. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company; so long as the transaction corresponds to the terms indicated in this form.
This field is not part of the form submission.
* indicates a required field
