Homeowner Information
First Name
  Susan
Last Name
  Thompson
Email Address
  sthompson0354@gmail.com
Phone
  (503) 956-0354
Street Address
  1077 W Mulligan Drive
Lot Number
  9
Security Gate Access Information
Homeowner transferring existing remote device?
 

  • No

Homeowner transferring existing access card?
 

  • No

Homeowner requests the following security gate access devices:
Security Gate Access Codes
 

  • No

Guest Information
Guest Length of Stay
  4 days
Date Guest Occupancy Begins
  04/01/2022
Date Guest Occupancy Ends
  04/04/2022
List names of ALL adult guests to reside in home
 

First & Last Name Phone Number Email Address
Kathy and Mark Wilson 5039560354 madtownbabe@gmail.com

List ALL vehicles
 

Make / Model / Color State / License Plate #
Ford F-150, Blue CA 22237L3

Provided Governing Documents
 

  • Yes, as the homeowner, I have provided my guests with a copy of the Fairfield Governing Documents.*

Print Homeowner's Name
  Susan Thompson
Date of Submission
  03/31/2022