2. 
3. RENTAL HOUSING REGISTRATION FORM
5. This form is required to be completed annually and completely filled out. One form required for each property. To avoid penalty registrations are due by the last working day in August annually.
9. Property Address:*
10. Fiscal Year:
12. Property Owner Name:*
13. Property Owner Email
15. Property Owner Address:*

    Street City State Zip

17. Owner Phone:*
18. Main Contact Is?*
    -- Select One --OwnerManager
19. Preferred Contact Method:*
    -- Select One --MailEmail
21. Manager Name:
22. Manager Address:
24. Manager Phone:
25. Manager Email
27. Total Number of Rentable Units in Structure*
29. As the property owner I understand that I am subject to the rental housing regulations of the City of Storm Lake including but not limited to the right of the City to perform inspections on my property as part of the rental housing requirements. I understand that it is my duty to notify my tenants of a ny upcoming inspections and to either be present or have a representative, that is at least 18 years of age, present during the inspection. I further agree to notify the City of Storm Lake within five (5) business days of any changes in the contact information listed on this registration form and to ntify the City of Storm Lake within 30 days of any changes in ownership related to the property registered by this registration form.
31. Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) all information provided is current as of the date of signature

    1. I agree
33. Electronic Signature*
34. Date*
    Date
36. City of Storm Lake Building Official ~ 620 Erie Street ~ Storm Lake, IA 50588 ~ 712-732-8002
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit Submit and Print

* indicates a required field