-Occupancy Permit Application (Online) – Village Of Riverdale

Occupancy Permit Application

Building Address*
Street Address Address Line 2 City State ZIP Code
Application for (check one):*
Owner Information
Building Owner*
Owner Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
NO P.O BOXES accepted!
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
(if different from owner address, please list)
Owner Phone #*
Owner Cell Phone #*
Owner Fax #
Owner Email*
Management Information
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Tenant Information
Tenant Name*
First Last
Proposed Date of Occupancy*
Completing this application does not guarantee that you will receive an Occupancy Permit. You must comply with obtaining a Rental License each year in order to rent. Upon your initial rental inspection, you will have forty-five (45) days from that date to complete all repairs and schedule your re-inspection or your initial inspection will expire. If all violations have not been repaired upon your re-inspection, you must re-apply for an Occupancy Permit and pay all associated fees.nnOccupancy Permits are valid for sixty (60 days). If no renter take occupancy in the above listed home or apartment within sixty (60) days, you must apply and pay for a new Occupancy Permit. nnOccupancy Permits must be applied for between each tenant. nnFailure to obtain an Occupancy Permit before renting to a new tenant will result in a minimum $300.00 fine. Fines can be issued each day you are not compliant.
By signing your name below, you acknowledge that you understand and agree to all the above condtions.*
First Last
Today's Date*

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