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Occupancy Permit

  1. Maplewood logo _USE

  2. City of Maplewood, MO Occupancy Permit

  3. Please indicate the type of occupancy permit.*

  4. Please indicate the type of unit you will be occupying.*

  5. I hereby request permission to occupy:

  6. Occupancy Status*

  7. PLEASE NOTE: Each field must be completed for spouse/partner or the application will not be considered complete.

  8. Please email a copy of your photo ID to occupancypermit@cityofmaplewood.com. Anyone 18 years of age or older that will be residing in the unit must also submit a photo ID. Valid forms of ID include a driver's license, passport, or state issued ID. This must be provided in order to process the application.

  9. Please provide first & last names of children (if occupying unit).

  10. Please provide first & last names of other persons who will be occupants of unit.

  11. “Compliance with occupant load limits is determined solely by the number of occupants without consideration of “familial status” as defined in the Fair Housing Act 42 U.S.C.A Section 3602(k).”:

  12. Will you have any animals occupying the premises?*

  13. Please email a copy of your photo ID to occupancypermit@cityofmaplewood.com. Anyone 18 years of age or older that will be residing in the unit must also submit a photo ID. Valid forms of ID include a driver's license, passport, or state issued ID. This must be provided in order to process the application.

  14. I certify that I am the proposed occupant, and that the answers written here are true and accurate in all respects to the best of my knowledge.*

  15. I REPRESENT THAT THE INFORMATION PRESENTED ON THIS FORM IS TRUE AND ACCURATE IN ALL RESPECTS. I UNDERSTAND THAT ONLY THOSE INDIVIDUALS LISTED ON THE OCCUPANCY PERMIT ARE LAWFULLY ALLOWED TO OCCUPY THE PREMISES AND THAT IT IS A VIOLATION OF THE CITY CODE FOR ANY PERSON NOT LISTED ON THE OCCUPANCY PERMIT TO OCCUPY OR TO BE ALLOWED TO OCCUPY THE PREMISES. PLEASE PROVIDE YOUR PHOTO IDENTIFICATION SO THAT A COPY MAY BE MADE TO ATTACH TO THIS APPLICATION FORM.

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  17. This field is not part of the form submission.