City of Marquette

Rental Registration Application

Ordinance 521

General (Please read instructions on back carefully)

1. Property address: _____________________________________________________________________

2. Property tax number (7 digits) ___ ___ ___ ___ ___ ___ ___

3. Year structure became a rental: __________________________________________________________

4. Number of dwelling units: __________________________________________________________

5. Number of private entrances: ____________________________________________________________

6. Number of off street parking spaces: ______________________________________________________

Owner

7. Owner(s) Name: _____________________________________________________________________

8. Address: ________________________________ 9. City: ____________________________________

10. State: _______ 11. Zip: _________ 12. Phone: home ( ) ___________ 13. Work: ( ) ___________

14. Fax: ( ) ____________________ 15. E-mail: ___________________________________________

16. Signature of owner(s): ______________________________________ 17. Date: ________________ ________________________________________________________________

Local Operator (If not Owner)

18. Name of Operator(s): __________________________________________________________________

19. Mailing Address: ______________________ 20. City: _____________________________________

21. State: _______ 22. Zip: _________ 23. Phone: home ( ) ____________24. Work: ( ) ____________

25. Fax: ( ) ________________________ 26. E-mail __________________________________________

27. Signature of local operator(s): _________________________________28. Date: __________________ __________________________________________________________

Organization

29. Type of Entity: Corporation Fraternity Sorority Partnership Trust Co-operative Other

30. Name of Entity: __________________________________________________________________

31. Corporate ID number: ______________________________State issued: _________________________

32. ATTACH THE FOLLOWING: A copy of the owner’s or operator’s driver’s license with picture I.D. and legible birth date. If not a licensed driver – then an official state or police photo I.D. with birth date may be substituted. The copy of your license, I.D. and birth date will be in a secured file at the Fire Department. There will be NO electronic filing of this information. Owner/Operator will be contacted by the Fire Department to schedule a compliance inspection. Owner or Owner’s legal operator must accompany the Fire Inspector during the compliance inspection.

Fees:

$35.00 per structure on non-contiguous property

$ 5.00 per additional structure located on contiguous property

Return form(s), check or money order to:

Marquette City Fire Department

Attention: Rental Program

418 S. Third Street

Marquette, MI 49855

Marquette Fire Dept. (906) 228-0410

Instructions: Type or print clearly with ink.
If you have any questions concerning items 1 thru 6 please inquire to the Community Development Office at
(906) 228-0425.
General: (All general information must be completed)

1. Street address of the structure

2. Property tax number

3. Year structure became a rental

4. Separate living units

5. Outside entrances that serve specific units

6. Parking spaces must be 9’ x 18’: and comply with all current zoning requirements (80.42 C. Zoning Ordinance)

Owner: (All owner information must be completed)

7. Legal owner(s) name

8. Address

9. City of residence or business

10. State

11. Zipcode

12. Home phone

13. Work phone

14. Fax number

15. E-mail address

16. Signature

17. Date application completed

Local Operator: (Mandatory if owner lives outside Marquette County, Michigan)

18. Person (s) charged with local responsibility of property. Mandatory if owner lives outside Marquette County, Michigan

19. Address

20. City

21. State

22. Zipcode

23. Home phone

24. Work phone

25. Fax number

26. E-mail address

27. Signature

28. Date application completed

Organization (Complete if applicable)

29. Circle one if corporately or organizationally owned or a partnership or trust

30. Name of entity

31. I.D. number of entity

32. A photocopy of owner or operator’s driver’s license with legible birth date. An unlicensed driver may substitute a state or official police I.D. with legible date of birth.

Return form(s), check or money order to:

City of Marquette Fire Department

Attention: Rental Program

418 S. Third Street

Marquette, MI 49855

Marquette Fire Department (906) 228-0410

www.mqtcty.org

For office use only:

Fire Department	Financial Services	Community Dev.
Date received: ________ Forms Complete: Yes No Check #: _______________ Or Money order #: ______________ Copy made: ________________ Fwd. to F.S. date/initial: __________________	Date received: ________ Current taxes paid: Yes No DLQ taxes at County: Yes No Accounts Receivable: Yes No Past due utility bills: Yes No Fwd. to F.S. date/initial: __________________	Date received: ________ Zoning compliance: Yes No (If no – give reason) ___________________________________ ___________________________________ ___________________________________ Return to Fire Dept. date/initial: __________________