2. Borough of Denver

   

   Application for Residential Rental License

4. Owner Name:*
5. Date:*
7. Owner Address:*
8. **Designee:
10. Email:*
11. **Designee Address:
13. Telephone:*
14. **Designee Telephone:
16. *

    **Owner must appoint a designee if they live more than 50 miles from the municipal limits of the Borough.

20. TYPE OF RENTAL UNIT(S)

    INSERT NUMBER OF EACH TYPE OF RENTAL UNIT IN APPROPRIATE SPACE(S)

22. Single Home(s):*
23. Duplex:*
24. Row Home(s):*
25. Apartment(s):*
27. Rooming Unit(s):*
28. Fee Enclosed ($35 per unit):*
32. LIST OF RENTAL UNIT(S)

    LIST ADDRESSES OF RENTAL UNITS - TYPE OF UNITS - TENANTS

34. ADDRESS:*
35. TYPE:*
    -- Select One --Single Home(s)DuplexRow Home(s)Apartment(s)Rooming Unit(s)
36. TENANT NAMES, INCLUDING CHILDREN:*
37. PHONE & EMAIL:*
39. ADDRESS:
40. TYPE:
    -- Select One --Single Home(s)DuplexRow Home(s)Apartment(s)Rooming Unit(s)
41. TENANT NAMES, INCLUDING CHILDREN:
42. PHONE & EMAIL:
44. ADDRESS:
45. TYPE:
    -- Select One --Single Home(s)DuplexRow Home(s)Apartment(s)Rooming Unit(s)
46. TENANT NAMES, INCLUDING CHILDREN:
47. PHONE & EMAIL:
49. LINK TO RESIDENTAL RENTAL UNIT LICENSE AND INSPECTION PROGRAM:

    Residential Rental Unit Program Information Booklet (PDF)

51. APPLICANTS DIGITAL SIGNATURE:*

    1. YES

    I hereby certify, upon submission, that the statements contained herein are true and correct to the best of my knowledge and belief. I understand that if I knowingly make a false statement herein, I am subject to such penalties as may be prescribed by law or ordinance.

Leave This Blank:


53. 1. Receive an email copy of this form.
54. Email address

    This field is not part of the form submission.

55. Submit

* indicates a required field