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2. Property Type:

   1. Residence
   2. Business
5. Business/Property Name (if applicable):
7. Property Address:
9. Owner/Manager Name:
11. Phone Number:
12. Email:
14. Section 1 - Property Overview
16. 1. Describe your property:

    1. Single-family home
    2. Multi-family housing

    1. Retail
    2. Office

    1. Industrial
18. 2. Approximate property size:
20. 3. Are there shared parking or common areas?

    1. Yes
    2. No
22. 4. Reason for CPTED request:

    1. General safety review
    2. After a crime or nuisance issue
    3. New construction or remodel
24. Section 2 - Natural Surveillance
26. Please check any that apply:

    1. Exterior lighting at entrances and walkways
    2. Windows provide visibility to street or parking areas
    3. Trees trimmed up to 7 ft; shrubs under 3 ft

    1. Security cameras installed
    2. Address numbers visible from street
28. Comments/Concerns:
30. Section 3 - Natural Access Control
32. Please check any that apply:

    1. Main entrance clearly visible and well-lit
    2. Side/rear access points gated or locked
    3. Parking areas marked & separated from restricted zones

    1. Fencing or landscaping directs visitors toward main entrance
    2. Delivery or service areas secured
34. Comments/Concerns:
36. Section 4 - Territorial Reinforcement
38. Please check any that apply:

    1. Signage clearly identifies property or private areas
    2. Property shows pride of ownership (landscaping, cleanliness)

    1. Neighborhood Watch or business coalition participation
    2. "Private Property" or "No Trespassing" signage posted where appropriate
40. Comments/Concerns:
42. Section 5 - Maintenance
44. Please check any that apply:

    1. Trash and debris removed regularly
    2. Graffiti removed promptly
    3. Burned-out lights replaced

    1. Damaged fences, gates, or locks repaired
    2. Landscaping maintained (mowed, trimmed, clear sightlines)
46. Comments/Concerns:
48. Section 6 - Lighting and Security
50. Please check any that apply:

    1. Lighting adequate for facial recognition at entries
    2. Motion or dusk-to-dawn lighting in use

    1. Security system or alarms installed
    2. Visible security cameras covering key areas
52. Concerns/Comments:
54. Section 7 - Additional Notes
56. Please describe any specific issues, recent incidents, or safety concerns you'd like addressed:
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58. 1. Receive an email copy of this form.
59. Email address

    This field is not part of the form submission.

60. Submit

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