12. ALLOW TEMPORARY ACCESS TO RESIDENCE

Homeowner Name: *

Member #: *

Address to Access: *

Today's Date: * +

Persons or Business Permitted to Access: *

From: * +

To: * +

Reason for Access:

Guest(s)

Working on Residence

Rental Property

Upon signing and submitting this form, ORCA Public Safety will provide the key to your residence to the named entities for the provided dates. This temporary access will only be in effect for the dates provided. For permanent access, or to change permanent access permissions, use the Key Deposit or Key Addendum form.

Signature: *

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