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Rental Dwelling License Application
New Rental License
Property Type
Condominium
Apartment Building
Other
Describe
Property Owner Contact Information
Name
Address
Unit/Apartment Number
City
State
Zip
Phone
Cell
Email
Property Owners Association
If there is an Owners Association, Please Fill Out Below
Association Contact
Name
Address
Unit/Apartment Number
City
State
Zip
Phone
Cell
Email
Corporation or LLCV
If Corporation or LLCV, Please Fill Out Below
Corporation/LLC
Name
Address
Unit/Apartment Number
City
State
Zip
Phone
Cell
Email
Registered Agent
Name
Address
Unit/Apartment Number
City
State
Zip
Phone
Cell
Email
Comments
RENTAL DWELLING UNIT INSPECTION CONTACT (INSPECTION CONTACT INFO MUST BE VALID FOR ALL UNITS LISTED ON THIS FORM):
Contact who can arrange an inspection
Property Owner Contact Information
Corporation/LLC
Registered Agent
Association Contact
Invoice mailing address
Property Owner Contact Information
Corporation/LLC
Registered Agent
Association Contact
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Complex Name
PIN
Address
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