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Trespass Letter of Consent

  1. Home, Business, Apartment, etc.

  2. I certify that I have the aurhtority to file such paperwork with the Centralia Police Department as the:*
  3. By submitting this document I do hereby designate each and every police officer now or hereafter employed by the City of Centralia as agent for the purpose of enforcing Section 9.10.140 of the Centralia Municipal Code and RCW's 9A.52.070, 9A.52.080, 9A52.010(3), 9A.52.105 and 9A.52.115. This authorization shall continue in full force and effect until such time as it is revoked in writing and said writing is duly delivered to the Centralia Police Department.

  4. I have read and understand the above.*
  5. Leave This Blank:

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