Rental Unit Registration Form - City Of Akron Department Of Public Service - 2010 Page 3
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4CITY OF AKRON
DEPARTMENT OF PUBLIC SERVICE
CUSTOMER SERVICE/HOUSING DIVISION
SUPPLEMENTAL
RENTAL UNIT REGISTRATION FORM
Owner’s Name: _______________________________________________________
List the address and √ the type of all premises and residential structures with rental, land
contract and vacant units:
Address: ______________________________________________
Apartment #’s ____________
Type: Single-family
( )
Multi-family
( ) number of units if multi-family ________
Rooming house ( ) number of sleeping rooms
________
Address: ______________________________________________
Apartment #’s ____________
Type: Single-family
( )
Multi-family
( ) number of units if multi-family ________
Rooming house ( ) number of sleeping rooms
________
Address: ______________________________________________
Apartment #’s ____________
Type: Single-family
( )
Multi-family
( ) number of units if multi-family ________
Rooming house ( ) number of sleeping rooms
________
Address: ______________________________________________
Apartment #’s ____________
Type: Single-family
( )
Multi-family
( ) number of units if multi-family ________
Rooming house ( ) number of sleeping rooms
________
Address: ______________________________________________
Apartment #’s ____________
Type: Single-family
( )
Multi-family
( ) number of units if multi-family ________
Rooming house ( ) number of sleeping rooms
________
Address: ______________________________________________
Apartment #’s ____________
Type: Single-family
( )
Multi-family
( ) number of units if multi-family ________
Rooming house ( ) number of sleeping rooms
________
Address: ______________________________________________
Apartment #’s ____________
Type: Single-family
( )
Multi-family
( ) number of units if multi-family ________
Rooming house ( ) number of sleeping rooms
________
(Over)
This form may be reproduced as needed
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