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City of Fairmont

info@fairmontwv.gov

200 Jackson Street, Fairmont, WV, 26554, US

304-366-6211

Certification for Waiver of Sanitation Fees

Full Name

Mailing Address

Service Address

I, the owner of the property indicated above, testify and certify that this property will be vacant for a period of not less than 3 consecutive months indicated above. I request that sanitation service changes be waived from the City of Fairmont utility bill rendered for that service location in accordance with Article 937 of the Fairmont City Code. I am furnishing this signed affidavit as a rebuttal of prima facie evidence that benefit is being deprived or that sanitation (solid waste) services are being obtained. I understand that I am responsible for providing an updated certification every 3 months as long as the property remains vacant and that no benefit is being derived from sanitation service.

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