ALSIP CRIME FREE HOUSING LICENSE APPLICATION
Rental Property Owner
(MANDATORY)
OWNER NAME 1: (IF APPLICABLE) |
ADDRESS: |
EMAIL: |
|
PHONE #: |
CELL PHONE #: |
WORK PLACE: |
WORK PHONE #: |
OWNER NAME 2: (IF APPLICABLE) |
ADDRESS: |
EMAIL: |
|
PHONE #: |
CELL PHONE #: |
WORK PLACE: |
WORK PHONE #: |
OWNER NAME 3: (IF APPLICABLE) |
ADDRESS: |
EMAIL: |
|
PHONE #: |
CELL PHONE #: |
WORK PLACE: |
WORK PHONE #: |
Rental Property Manager
ADDRESS: |
|
EMAIL:: |
|
PHONE #: |
CELL PHONE #: |
WORK PLACE: |
WORK PHONE #: |
Rental Property Location
ON LOCATION AGENT: (IF APPLICABLE): |
PROPPERTY ADDRESS: |
AGENT PHONE #: |
AGENT CELL PHONE #: |
NUMBER OF RENTAL UNITS:NUMBER OF BUILDINGS: |
APPLICATION FEE: FEE INCREASED BY 50% IF PAID AFTER NOV. 1ST AMT PAID: DATE PAID: |