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2. Be informed!
   City of Dubuque Code of Ordinances

   Vacant Buildings requirements can be found in Title 14, Chapter 4. Property Maintenance Code information can be found in Title 14, Chapter 1, Article J.
4. Please complete this form in its entirety. The annual licensing fee for a vacant building is $350.00, which will be invoiced when this application is processed. The license will not be issued or considered valid until the fee is paid in full.
6. Property Owner Information
8. First Name*
9. Last Name*
10. Business Name, if applicable
12. Address 1*
13. Address 2
15. City*
16. State*
17. Zip*
19. E-mail Address
20. Phone Number (Primary)*
21. Phone Number (Secondary)
23. I will be the primary contact, responsible for all property management and license maintenance business.*

    1. Yes, I am the primary contact.

    1. No, a designated agent will be the primary contact.
25. **If you live more than 50 miles outside of Dubuque's city limits, a designated local agent is required to be on file for any immediate property maintenance issues. Please complete the form linked to the right.**
    When you click the link, it will open in a new window/tab so the information you've entered in this form will not be lost. Simply return to this window/tab to complete and submit this form.
26. Click below to open form:
    Designated Local Agent Form
28. List the names, addresses, and phone numbers of all additional lien holders or parties with an interest in this property:
32. Vacant Building Information
34. Address*
35. City, State*
36. Zip*
38. Number of units:*
39. Type of Use: *
    -- Select One --ResidentialCommercialMixed Use
41. What is the approximate date of vacancy?*
42. Anticipated date building will no longer be vacant?*
    (MM/DD/YYYY)
44. Describe your plan of action for bringing this building back to service, including timelines:*
46. Type your name below to certify your application.*
    By signing below, I acknowledge that all information provided is accurate to the best of my knowledge and I am hereby applying for a Vacant Building License for the above-described property. I understand that I am responsible for paying all associated fees, submitting to a minimum of one annual full inspection and quarterly exterior inspections, and maintaining compliance with applicable City Codes for the above-described property.
48. Please read this information carefully:
    Property owners must notify the Housing Department Permits Clerk within five (5) days of any change of agent or ownership and within thirty (30) days for any change in contact information, including phone number and mailing address. Licensing fees will be invoiced following the receipt of this application. Please contact the Housing & Community Development Department with any questions at (563)589-4231 or housing@cityofdubuque.org.
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50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit

* indicates a required field