Rental Housing Business License Application - City Of Auburn Page 2

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COMPLETE THIS SECTION EVEN IF INFORMATION IS ALREADY LISTED ABOVE (attach separate page(s) if necessary):
BUSINESS OWNER INFORMATION
Name:
Title:
% Owned
Address:
City/Sate:
Zip:
Phone:
Fax:
Email:
Driver’s License #:
Date of Birth:
Place of Birth:
BUSINESS CO-OWNER INFORMATION (IF APPLICABLE)
Name:
Title:
% Owned
Address:
City/Sate:
Zip:
Phone:
Fax:
Email:
Driver’s License #:
Date of Birth:
Place of Birth:
PROPERTY MANAGER/AGENT INFORMATION
Name:
Title:
% Owned
Address:
City/Sate:
Zip:
Phone:
Fax:
Email:
Driver’s License #:
Date of Birth:
Place of Birth:
LOCAL EMERGENCY CONTACT INFORMATION (Contact must be within 50 miles of the property)
Name:
Title:
% Owned
Address:
City/Sate:
Zip:
Phone:
Fax:
Email:
Driver’s License #:
Date of Birth:
Place of Birth:
Have you ever had a rental housing business license with the City of Auburn denied, revoked or suspended?
Yes
No
If yes, when and for what property address:________________________________________________________________
I hereby certify and declare under penalty of perjury under Washington law that the statements furnished by me on this
application are true and complete to the best of my knowledge. I understand that issuance of this license is conditioned upon
compliance at all times with all applicable ordinances, regulations, conditions, and statutes of the City of Auburn and the State of
Washington. The issuance of this business license does not imply compliance with the Zoning Code and International Fire and
Building Codes.
Notice to owners of single family residential dwelling units that will be rented: By signing this application you are also
acknowledging and agreeing to the following terms:
1. As the landlord, you are responsible for ensuring that you are providing safe living conditions for tenants.
2. As the landlord, you are responsible for ensuring that garbage and recycling receptacles are on site and available to tenants
and for ensuring that garbage and recycling curbside service is provided.
3. As the landlord, you are responsible for landscaping and the general external appearance of the property.
4. As the landlord, you are responsible for ensuring that there is adequate on-site parking available for all tenants.
As the landlord, you are responsible for implementing management strategies that ensure that tenants under the age of 18
5.
are complying with the curfew requirements of Auburn City Code Chapter 9.14 when the minor does not have an onsite
resident guardian or chaperone
.
6. As the Communal Rental property owner, I understand that I am required to schedule a building inspection with the City of
Auburn Building Department prior to renewal of my annual business license. The building inspector will be provided
access to all exterior and interior areas of the property. I understand that the purpose of the inspection is to ensure that
unauthorized structural alterations have not occurred, that there are no life safety concerns, and that occupancy limits have
not been exceeded.
Printed Name:____________________________________________ Title (if applicable):__________________________
Signature:_______________________________________________ Date:_____________________________________

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