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Residential Rental Property License Withdrawal

  1. Property Owner Information
  2. Rental Structure Information
  3. (i.e. apartments)
  4. (i.e. dormitories)
  5. Definition of Dwelling Unit & Rooming Unit
    Dwelling Unit: A single unit providing complete, independent living facilities for one or more persons, including permanent provisions for living, sleeping, eating, cooking and sanitation. Rooming Unit: Any room or group of rooms forming a single habitable unit occupied or intended to be occupied for sleeping or living, but not for cooking purposes. (Source: International Property Maintenance Code)
  6. Does this property currently have an Open or Failed rental licensing inspection?*
  7. Will the unit, or any units in the structure continue to be occupied by the current renters?*
  8. New Owner Information (if known)
  9. By typing my name into this e-form, I acknowledge that all information provided is accurate to the best of my knowledge and I am hereby withdrawing a Rental Property License for the above-described property. I understand that the license will not be officially withdrawn until all rental licensing and inspection fees associated with the property applied in accordance with Dubuque City Code 14-1J-3 have been paid in full.
  10. Leave This Blank:

  11. This field is not part of the form submission.