VACANT PROPERTY REGISTRATION
St. Helens Municipal Code Section 8.14.030(8)
www.ci.st-helens.or.us
SUBJECT PROPERTY INFORMATION
Physical Property Address: _______________________________________________ , St. Helens, Oregon 97051
Columbia County Tax Lot No.: __________________________
CONTACT INFORMATION
Current Property Owner Name: Cell Phone: ________________
Current Property Owner Physical Address: __________________________
Current Property Owner Mailing Address: __________________________
Current Property Owner Email: __________________________
Lender Name: Phone:
Lender Physical Address:
Lender Mailing Address:
Name of Contact Person for Lender:
Contact Person Email: Cell Phone:
If neither the property owner nor lender live in or have a business office in Columbia County, then the City Code
requires the owner/lender to designate a person, within 30 miles of the vacant property, to be responsible for
inspecting and protecting this property to standards set forth in the Code. The Code also requires you to supply
the following information about this person:
Contact Person Name: Cell Phone:
Contact Person Physical Address:
Contact Person Mailing Address:
Contact Person Email:
I, the undersigned, hereby affirm that I am duly authorized to act on behalf of all the ownership interests in the
above described property; that all information is true and correct; that all information herein will be updated
within thirty (30) days of any change; that any and all notices, including but not limited to legal service of
process or citation, shall be sufficient if actually received; and that failure to comply with all City of St. Helens
codes, rules, ordinances, and registration requirements is subject to citation.
Signature of Owner, Beneficiary, Agent or Trustee Date Signed
Printed Name of Signature:
Date received:
Date entered:
Vacant Property No.:
Please mail, email or fax completed
registration form to the City.
For questions, please contact City
Recorder Kathy Payne at 503-366-8217 or
kathy@ci.st-helens.or.us.
City of St. Helens/VPR Program
265 Strand Street
St. Helens, OR 97051
Email: kathy@ci.st-helens.or.us
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