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Officer: ____________________________ ID:________________ Control #: _____________
I hereby grant the Lake Dallas Police Department access to the property described herein for the purpose of conducting security checks. I understand that if the officers do not have a clean unobstructed access to all sides of the residence they will be unable to check the entire building.
Type name in lieu of signature.
This form indicates the number of times you home was checked by members of the Lake Dallas Police Department. We are glad to be of assistance, and we hope we were able to increase your sense of security while you were away.
Chief of Police
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