THIS IS A PRE-REGISTRATION ONLY.
After submitting this form you must print, sign, and send the printed copy along with the initial registration fee to City of Iron Mountain, 501 S Stephenson Ave, Iron Mountain MI 49801.

Initial registration is $30.00 for one unit plus $25 for each extra unit

You must register within 30 days of purchase or offering as rental. Inspection fees of $25 per unit will be invoiced every three years to renew the rental certification.

After submitting YOU MUST PRINT THE RELOADED FORM
IT WILL NOT PRINT AUTOMATICALLY

Do not hit the Continue button until you have the printed form.

Please provide a contact email for this online form so that an email confirmation may be sent

Part 1 - Property Location______________________________________

Rental Property Address*

Tax ID/Parcel Number (Ex:22051-xxx-xxx-xx)*

Zoning Class of Property (choose one)*

R-1 Single-Family Residential R-2 Moderate Density (Two Family) Residential R-3 Multiple-Family Residential O-S Office Service

B-1 Neighborhood Business B-2 General Business I-1 Light Industrial I-2 General Industrial

Part 2 - Property Owner Information ______________________________

Owner's Name*

Address 1*

Address 2

City*

State*

Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMassachusettsMarylandMichiganMinnesotaMississippiMissouriMontanaNorth CarolinaNorth DakotaNebraskaNevada New Hampshire New JerseyNew MexicoNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWest VirginiaWisconsinWyomingWashington D.C.

Zip*

Telephone (required)*

Cell Phone (optional)

Date Property Purchased:

Owner Email

Part 3 - Agent/Manager Information ______________________________

If there is no agent/manager then use owner information for the fields below.

Agent Name

Address 1

Address 2

City

State

Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMassachusettsMarylandMichiganMinnesotaMississippiMissouriMontanaNorth CarolinaNorth DakotaNebraskaNevada New Hampshire New JerseyNew MexicoNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWest VirginiaWisconsinWyomingWashington D.C.

Zip

Telephone

Agent Email

Part 4 - Type of Dwelling ____________________________________

Please Choose the Type of Dwellling*

Single Family Dwelling Duplex (2 Family)

Multi-Family Dwelling (note number below)

Number of Units*

Number of Units above Commercial Property:

Number of Units Currently Being Rented:

Sign printed form below:

_________________________________________________
Signature of Property Owner

****Please Note****
Online form is a pre-registration only. The structure is NOT registered UNTIL
we receive the SIGNED form plus PAYMENT.
Property owner must call within 30 days of sending registration to schedule inspection and complete the certification process.*

I have read the notice above

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