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Please fill out one form per property
Duplex/Double Bungalow - 1 unit rented
Duplex/Double Bungalow - both units rented
Single Family Home
Number of Apartment Buildings ($75.00 per building)
The rental license for apartments is a base fee of $75 plus $10 per unit. Please enter the number of units, and then calculate the unit fee by multiplying that number times $10. (For example, if your building has 50 units, enter $500 for the unit fee.)
Per Unit Fee
I certify that the above information is true and correct. I understand my signature as property manager will hold me responsible for the maintenance and management of said rental property, including legal action if necessary. All mailings from the Inspections Division including the annual rental license billing statement will be mailed to the appointed agent/contact person unless the Inspections Division is notified of any changes.
A fee will be assessed per City Council Resolution.
• Rental units may not be occupied without a rental license.
• Please make necessary changes for accuracy of the information listed on this application for your property.
• If changes in management or partnership occur you must contact our office with the updated information.
• No license shall be assignable. If any changes occur in ownership, units must be re-licensed.
• Payments received more than 30 days late will be doubled.
• Administrative citations starting at $500 may be issued for non-payment.
• GOVERNMENT DATA PARACTICES - TENNESSEN WARNING: The data you supply on this form will be used to process the license you are applying for. You are not legally required to provide this data, but we will not be able to process the license without it. The data will constitute a public record if and when the license is granted as such will be available to the general public upon written request. (MN Law M.S.13.41)
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