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2. 
3. Rental Property Inspection Application
   Rental Dwellings and Rental Units

   Regulated by Code of Ordinance Article V, Section 8-100 through 8-111
5. Today's Date*
   Today's Date
6. Inspection Fee
   $200
7. For Office Use Only:
   Inspection Date & Time / Clerk's Initials / Inspection Number
9. Rental Property Address*
10. Property ID Number
14. Requester*
15. Requester's Phone Number*
17. Homeowner's Name*
18. Homeowner's Address*
20. City*
21. State*
22. Zip Code*
24. Homeowner's Phone Number*
25. Homeowner's Alternate Number
27. Homeowner's e-mail address
31. Notice and Requirements*

    I have read, understand and accept the following notice and requirements:

    1. This request, when properly signed, grants permission to the housing inspector to inspect the above premise.
    2. ALL rental homes must be in compliance at ALL times.
    3. Inspections must be completed prior to the expiration of the current Certificate of Compliance.
    4. I have provided a Consent to Inspection (if applicable)
33. Applicant's Signature
34. Print name of Applicant
36. Notices and Orders
    This request, when properly signed, grants the person responsible for the property with a notice of his or her right to seek modification or withdrawal of the order by appealing to a board of appeals according to Section 111 of the IPMC.
38. Print and Submit
    Please print and submit your application and payment to the City of Taylor Rental Department. Inspections are scheduled when both application and payment are received by the Department.
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39. Print Only

* indicates a required field