Notice to Abate Fire Hazard
Owner Name: Sample
Owner Address: 333 Sample Way
SACRAMENTO, CA 956XX
Assessor Parcel Number: 000-000-000-000
Site Address: 203 SAMPLE ST
Roseville, CA 956XX
Please check the box below depicting the current status of the property listed above.
This property has been developed.
This property has been sold.
If the property listed above has been sold, please provide the date of sale and contact information of the new owner below.
Date Sold: _______________________________________________________________ New Owner Name and Address: _____________________________________________ _____________________________________________
_____________________________________________
Return to: Roseville Fire Department
316 Vernon St, Suite 480
Roseville, CA 95678
Please remember: If applicable, all necessary work shall be completed by July 30, 2022