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Alarm Permit

2. City of Branson Police and Fire Department Alarm Permit
   Please complete the following emergency contact information regarding your business or residential alarm.

   Please complete the following emergency contact information regarding your business or residential alarm.

6. Alarm System*

   1. Yes

   1. No

7. Video Surveillence System*

   1. Yes

   1. No

11. Date*
    Date

12. Business / Residence Name*

14. Physical Address*

16. Phone*

17. Email / Fax

19. Owner's Name*

20. Owner's Phone*

22. Normal Summer Hours

23. Normal Winter Hours

25. This property is a:*
    -- Select One --BusinessResidenceOther (Have Alarm Company Call 417-334-3300)

26. Type of Business

27. Number of Residents

29. Alarm Company

30. Alarm Company Phone

32. Video Surveillance System
    -- Select One --NoneInterior OnlyExterior OnlyInterior and Exterior

36. Below, list at least three keyholders responsible for responding after business/residence hours:
    If you wish to list more than 3 keyholders, please use the comments section.

    If you wish to list more than 3 keyholders, please use the comments section.

38. Name 1*

39. Address 1*

40. Phone 1*

41. Title 1

45. Name 2*

46. Address 2*

47. Phone 2*

48. Title 2

52. Name 3*

53. Address 3*

54. Phone 3*

55. Title 3

59. Comments

61. VOLUNTARY CONSENT TO SEARCH PREMISES:*

    Upon responding to an alarm/call/observance of an open door-window, or other evidence of unauthorized entrance at the above listed business/residence, I give my consent as owner, operator or agent of said business/ residence for the Branson Police Department to enter the above business/residence and search for intruders or evidence of unlawful entry. THIS WRITTEN PERMISSION IS BEING GIVEN TO THE BRANSON POLICE DEPARTMENT KNOWINGLY, VOLUNTARILY AND WITHOUT THREATS OR PROMISES OF ANY KIND AFTER BEING MADE FULLY AWARE OF THE CONSTITUTIONAL RIGHT TO NOT HAVE A SEARCH MADE OF SAID BUSINESS OR RESIDENCE.

    1. I consent to the search

    1. I do not wish to consent
63. Title*

Leave This Blank:


64. 1. Receive an email copy of this form.
65. Email address

    This field is not part of the form submission.

66. Submit

* indicates a required field