Rental Unit Registration Application

Rental Unit Registration Application
Steps in the Registration Process
1. Complete this Registration Application.
2. Submit this application and call the office @ 616.335.3050 to pay the registration fee to the Treasurer with a CC.
3.The Fire Department will be notified and will contact you (or your agent) to schedule an inspection.
4.The Fire Department will notify the Township when the property meets the inspection guidelines.
5.Upon notification of the Township, the Fire Department will send the owner or agent a Rental Certificate.
6.All Assessed Fees for the rental unit, State and Local taxes are paid.
Rental Property Address
Parcel #
PROPERTY OWNER’S MAILING ADDRESS: Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone
Format: (000) 000-0000.
I hereby authorize that the agent as listed below is authorized to make this application for short-term-rental as my agent and we agree to conform to the all applicable laws and regulations of the Township of Laketown. I additionally grant Laketown Township staff or authorized representatives thereof access to the property to conduct inspections as needed.
Date

MonthDayYear
Responsible Local Agent
Agency Name
Contact Name
Complete Mailing Address
Email
example@example.com
Phone
Format: (000) 000-0000.
Contact and Other Information:
OwnerAgent
OwnerAgent
How many off street parking spaces are available for renters?
Number of buildings?
Number of rental units?
Number of bedrooms?
Sleeps how many?
Length of lease?
Yes
LOCAL EMERGENCY CONTACT PHONE NUMBER/NAME
Format: (000) 000-0000.
I have read and understand the Laketown Township Rental Unit Ordinance.
Property owner’s name (print)
Signature

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Date signed

MonthDayYear
Date
Should be Empty:

Rental Unit Registration Application

Steps in the Registration Process

Responsible Local Agent

Contact and Other Information: