Fillable CALIFORNIA HOMEOWNER APPLICATION FOR NEW SHORT TERM RENTAL

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CALIFORNIA HOMEOWNER APPLICATION FOR NEW SHORT TERM RENTAL

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County Ordinance NO. 927 requires a valid short term rental certifi cate for all short term rentals (overnight rentals of less then 30 consecutive days)
Subsequent years will be $100 per rental property.
( Attach additional sheets as necessary )
If you do not utilize a management company, you must authorize a local emergency contact person who is available
24 hours a day, seven days a week, during the entirety of the time the property is being used as a short term rental.
If your property is located within a Home Owners Association (HOA) it is your
responsibility to adhere to any HOA restrictions regarding short term rentals.
http://www.CountyTreasurer.org/Portals/0/pdf/TOTapp.pdf
COUNTY OF RIVERSIDE
DESERT PERMIT ASSISTANCE CENTER
77588 EL DUNA CT. SUITE H
PALM DESERT, CA 92211
ATTENTION: CINDY GOSSELIN
760-799-5748
COUNTY OF RIVERSIDE
CALIFORNIA
HOMEOWNER APPLICATION FOR NEW SHORT TERM RENTAL CERTIFICATE
The registration for the fi rst year is $250 per rental property.
Please attach a copy of the transient occupancy registration certifi cate - you can fi nd it at:
VACATION RENTAL PROPERTIES
HOME OWNER NAMES: ________________________________________________________________________________________
MAILING ADDRESS: _____________________________________________________________________________________________
CITY, STATE, ZIP: ________________________________________________________________________________________________
EMAIL ADDRESS: ______________________________________________________________________________________________
PROPERTY ADDRESS: ________________________________________________________________________________________
PROPERTY PHONE NUMBER: __________________________________________________________________________________
INTERNET LISTING NUMBERS: ________________________________________________________________________________
LOCAL EMERGENCY CONTACT PERSON: _________________________________________________________________________
PHONE NUMBER: __________________________EMAIL ADDRESS: __________________________________________________
APPLICATION BY: _________________________________________________________________________________________________
SIGNATURE: ___________________________________________________________ DATE: ____________________________________
FOR COUNTY USE ONLY
PERMIT NUMBER: ______________________________________________________ DATE PROCESSED: ________________________
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CALIFORNIA HOMEOWNER APPLICATION FOR NEW SHORT TERM RENTAL

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Completed 23 November 2021

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