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Voluntary Interest Survey
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Homeowner Voluntary Interest Survey and Sign Up Form
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Mailing Address of Homeowner
Address of Home Seeking Mitigation Funding, if different from above
Parcel number, if known
Brief Description of Past Disaster Impacts
Please check which options would you be interested in pursuing or learning more about?
Elevate or reconstruct home above minimum flood elevation to code requirements.
Sell out property.
Has homeowner participated in home mitigation programs in the past for the property seeking mitigation funding listed above?
This survey form does NOT obligate the homeowner or the County to participate in any grant programs. The County will communicate future grant program opportunities to homeowners who may choose to participate or not participate in the program at that time. This form is for survey purposes only to identify interested homeowners.
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Hurricane Irma Recovery
Title VI, EOE & ADA
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