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Request for Pre-Demolition Rodent Free Inspection

  1. Contact Information

  2. Address to be Inspected

  3. Are there any obstructions to accessing the site? (i.e., locked gates or fences)*

  4. Please make checks payable to:

  5. Norfolk Department of Public Health
    830 Southampton Ave
    Norfolk, VA 23510

  6. Leave This Blank:

  7. This field is not part of the form submission.