Loading...
4112 Skylark Lane - Rental Registration CERTIFICATE OF RENTAL REGISTRATION This certificate verifies that the below property is registered as a residential rental Sarah Brandel, Office Supervisor Department of Community Development 1 Number of Units: City of Eagan Signed: 55402 property within the City of Eagan. Skylark Lane 212 55122 MN JM Condo, LLC S 7th Street , Minneapolis Justin Berg MN , Eagan 4112 22, 2016 40 Property Owner:Manager: January Site Address: Rental Date: Au2 grtyka'04 W19-, ft of Eakan 3830 Pilot Knob Road Eagan MN 65122 Phone: (651) 676.5660 Fax: (651) 675-504 Email: commdevelopmenio-)cityofeaQan.com RESIDENTIAL RENTAL REGISTRATION 112!'2alb Either a property owner or rental manager shall register all residential rental properties with the City of Fagan. In the case of a transfer of ownership, change in rental manager, change in the number of rental units or change in dwelling occupancy from owner occupancy to rental tenant occupancy, the property owner or rental property manager shall complete and submit a registration form for every property affected by the transfer within thirty (30) days of the transfer. Please complete one registration form for each residential rental property address. Check one of the following that applies: XNew Rental Registration ❑ Change of addressiphone number ❑ Change of owner APPLICANT/ REGISTRANT (person completing fonn) Name: ❑ Change of rental manager ❑ Change in number of units ❑ Change from owner to rental occupancy Address NumbedStreet `I , 5� it t , PM 17 ?, I City AAi n ea p f > `S -- state: AA h5 zip: 2 Primary Prone: (0 f s Altemate Phone: 4 Email: i 0 Jeati k --c/ z- . e o � f r RENTAL Address Number. �I Street 4f Tip: t PROPERTY INFORMATION Number of Rental Units: Building Name {if applicable): Name: t1 r " \ o ei do . i� Ir - --•• --- • — •— Address Number/Street 0 / y', tc PROPERTY k OWNER City: &JInidetl D0115, State: zip: r C Primary Phone: l � t � � ` 1 �� � Alternate Phone: c [_mall: t bev-eio de-ao Wet ;�- b 6evI o Page 1 of 2 4112 Nu�{a,(K lsJA.Q, A rental manager is required. A rental manager is any person who has been delegated by the residential rental property owner with the charge, care or control of a residentlai rental property and is able to respond in-person to issues related to the residential rental property_ The rental manager may be the same as the owner and/or applicant. Name: . i 0.5j tf ki RENTAL MANAGER ,address Number/Street QUESTIONS a 5, `7 '' - , �<U I't-l—, 6e� ) a , P11,B ,210 City: M f}k1 k7 &4 0 D�!`S State: zip:. -55 -J -- Primary Phone &SI) q55 -1s, + Alternate Phone: ► ig � Email t- U S ' , rt 1 d e Otl P v -C 12 , G yr Any person providing false .information on the prescribed registration form shall be guilty of a misdemeanor and subject to a fine. The responses are being collected for informational purposes and a `yes' answer is not required. 9. Does the residential property owner or rental manager conduct a criminal background check on each and every residential tenant? X Yes 0 No 2.oes a written lease exist for each and every residential property and unit dweliing thereon? psYes 1] No 3. Does a written lease addendum commonly known as "Drug Free/Crime Free Lease Addendum" exist for each and every written lease? X Yes Cl No After completing the Residential Rental Registration form in its endrety, submit it electronically to commdevelopmentD-crtyofeartan.com, fax to (651) 6754694 or deliver to: Eagan City Hall Attn: Community Development 3830 Pilot Knob Road Eagan, MN 55122 Page 2 of 2