Rental Housing Permit Application

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Rental Housing Permit Application
Note: Any fields marked with a Red Asterisk (*) are required to submit.

There is NO fee for this application. A separate application is required for each address.

*Registration Type
New Registration
Renewal Registration
Update Current Registration

*Rental Property Street Address

*Number of Units at this Address

*Name of Owner (First - Middle - Last)

*Date of Birth (Required if a person, if a company please put today's date)

*Daytime Phone Number

Evening Phone Number

Owner's Email Address - (do not include www.)

*Owner's Street Address

*Person Responsible for Maintenance and Management (First - Middle - Last)

*Manager Date of Birth (Required if a person, if a company please put today's date)

*Manager's Daytime Phone Number

Manager's Evening Phone Number

Manager's Email Address - (do not include www.)

*Manager's Street Address

*Has the owner or responsible party* as defined above within the previous three (3) calendar years been in violation and failed to make timely corrections of health, nuisance, or other code violations to any property or properties in any municipality including the City of Sioux Falls?
Yes
No

*Responsible party means any person or persons in charge of the premises or location or the person or persons responsible for the event or incident and includes any of the following: (1) the person or persons who own the property where the violation exists, (2) the person or persons in charge of the premises where the violation exists, (3) the person or persons using the premises when the violation exists, (4) if any of the above is a minor, a parent or guardian of such minor shall be the responsible party, (5) if any of the above is a business entity, the manager or on-site supervisor where the violation exists.

*Owner Signature/Oath: I certify that the above information and answers are correct, and I understand that all mailing from the Planning and Building Services Department will be mailed to the appointed property manager.
Type Your Full Name Below as Signature

Property Manager Signature/Oath (if other than owner): I certify that the above information and answers are correct, and I understand that all mailing from the Planning and Building Services Department will be mailed to the appointed property manager.
Type your Full name below as Signature

Note: To prevent SPAM, you must type the answer to the following question in the box below to submit.

The color of fresh snow.